Palmetto Venture Fellowship Nomination Form

Please fill out the nomination form below if someone you know should be considered for the Palmetto Venture Fellowship.

Your Name

First Name

Last Name

Your Email

Your Phone

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Nominee Name

First Name

Last Name

Nominee Email

Nominee Phone

(###)

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Nominee Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Nominee Occupation

Years Nominee Has Been in Profession

Nominee Twitter Handle

Nominee Linkedin Profile URL

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

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

Describe any experience your nominee has had advising businesses or business owners.

What role does your nominee play in the management of your personal investments?

What is your nominee's experience in investing in private business?

Does your nominee have any specific industry, functional, or knowledge areas of expertise that could apply to investee companies?

Does your nominee have any experience in the due diligence process?

Does your nominee have any experience serving on for-profit boards of directors?

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