Palmetto Venture Fellowship Application

Please fill out the application below to be considered for the Palmetto Venture Fellowship.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Occupation

Years in Profession

Twitter Handle

Linkedin Profile URL

Please List Three (3) Professional References (Name, Email, Relationship)

Tell us about your experience or involvement to date with the entrepreneurial community and/or early-stage ventures.

Describe any experince you've had advising businesses or business owners.

What role do you play in the management of your personal investments?

What is your experience in investing in private business?

Do you have any specific industry, functional, or knowledge areas of expertise that could apply to investee companies?

Do you have any experience in the due diligence process?

Do you have any experience serving on for-profit boards of directors?

Is there anything else you would like to tell us that you feel is relevant to your consideration for this fellowship? (Optional)