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ACTIVATOR MENTOR/EXPERT SIGN-UP

Welcome! The following form will provide more information about how to get
involved and allow you to express your preferences for being connected to
various chapters within our organization. Thank you for supporting the next
generation of biotech leaders!

First Name *

Last Name *

Email *
Please confirm the email address you use to correspond with Nucleate.

Which roles are you interested in participating as for the Activator? *
Mentors are matched with and meet bimonthly with their team to discuss progress
and help work through feedback teams receive during workshops. Mentors develop a
long-term relationship with their teams and support these aspiring entrepreneurs
in the strategic development of their life science ventures throughout the
Activator program. Time commitment: 30-60 minutes/ 2 weeks from January-May.
Experts take a leading role in guiding 1-2 teams through specific topics during
one of our virtual or in-person workshops in the Spring. Experts step in to
provide critical feedback on the topic of their workshop that will shape the
trajectory of emerging life science startups. Time commitment: 2 hours during
one workshop between February-May.
 * Mentor
 * Expert

Are you already affiliated with a Nucleate chapter?
Please select your primary/local chapter among the records below.
Add
Are there Nucleate chapters you would be particularly interested in working
with?
Nucleate is proud of our growing community and invite our global network of
mentors and experts to work with us across chapters.
Add
Where are you located? *
Select an option
What is the name of your current organization or employer? *
e.g. 'Sanofi Genzyme', 'Third Rock Ventures'

Do you have experience in any of the following areas?
These areas are of specific interest to our teams and will help us connect you
to them.
 * Medical Devices
 * Diagnostics
 * Manufacturing
 * Cell Therapy
 * Therapeutics/Drug Delivery
 * Digital Health
 * Drug Discovery/Screening
 * AI/Computer Engineering
 * Services & Tools
 * Platform & Other
 * Materials & Chemicals
 * Food & Agriculture
 * Biocomputing
 * Bioremediation
 * Bioenergy/Biofuels
 * Carbon Sequestration

What is your position or title? *
e.g. 'Senior Associate', 'Director of Business Development'

Is there anything else our leadership team should know?





If location not listed, please enter below


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