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Brisbane Business Hub
Mentor Request Form

Please complete the below request form in as much detail as possible and we will endeavour to match you with a suitable mentor, based on the information provided.

The information you provide assists in matching you with a mentor and allows the mentor to adequately prepare for the mentoring session. Mentor requests that do not contain adequate information may not be fulfilled.

First name*

Last name*

Email*

Phone number*

Company name*

Job title*

Web address & social media pages*

Name and role of team members attending mentoring session*

Which Mentor would you like to meet with?*

I'm seeking Mentoring to support:*

Are you part of one of the below business growth programs run by Brisbane Economic Development Agency/Brisbane Business Hub?

What is your business? Please provide context and background.*

Products and services offered*

Please list what products and services your business offers.

Customer overview or target market*

Please provide detail regarding the current/ideal customers for your business.

Potential or current demand (local, domestic or global)*

Business Financial Information - Please provide the following information from the previous two financial years:

Note: This information is kept strictly confidential and will only be shared to potential mentors for your session. This section is not required, however you will need this information for your mentoring session on the day.

Revenue

Cost of Goods Sold

Gross Profit

Expenses

Net Profit

What would you like to discuss with your Mentor? *

What are the biggest challenges your business is currently facing?

How have you tried to overcome these challenges?*

Where would you like to see the business in 6, 12 and 24 months time?*

If you selected 'other', please specify.

I have read and agree to the Terms & Conditions and Privacy Statement.*

I understand mentors are not employees of Brisbane Economic Development Agency. In the event that your preferred mentor or a mentor with experience relevant to your areas of interest is unavailable, BEDA will endeavour to match you with an alternative mentor that aims to cater for your specified business goals, preferences and challenges. In the event that this occurs, we may be unable to fulfil your request.*

Brisbane Business HubMentor Request Form

Brisbane Business Hub
Mentor Request Form