Section 1: Details
 
Name 
Address 
City 
Postcode 
Mobile Number 
Email 
DOB 
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Section 2: Work Experience & Background
 
How many years of work experience do you have? 
—Please choose an option— 1-5 years 6-10 years 10 years+ 
In which industry have you primarily worked? 
—Please choose an option— Healthcare Hospitality Manufacturing Property Retail/Wholesale Services (Professional/Financial) Technology Other 
What has been your primary role or function in your current/most recent job? 
—Please choose an option— Management Operations Marketing or sales Finance or accounting Product or service development Customer service or support Other 
Have you ever managed a team or worked in a leadership role? 
—Please choose an option— Yes, extensively Yes, to some extent No, but I'm eager to learn 
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Section 3: Entrepreneurial Aspirations
 
What motivates your journey into entrepreneurship? 
—Please choose an option— Financial independence or growth Pursuing my passion or interest Desire for more autonomy and control Other 
Which of these best reflects your future business intentions? 
—Please choose an option— Launching a new venture Acquiring an existing business Exploring both options 
If starting a new venture is part of your plans, where are you currently in the process? 
—Please choose an option— I have a fully developed idea ready to go I have a clear idea but need help I have several ideas but need clarity and guidance I'm still exploring options Not Applicable 
If acquiring a business is part of your plans, have you identified the target business? 
—Please choose an option— I have already identified the target business and begun discussions I know the business I want to acquire but haven’t started the process yet I’m researching and evaluating potential businesses to acquire I know the industry or niche I’m targeting but not a specific business I haven’t started identifying a target business yet Not Applicable 
What type of business are you planning to start/acquire? 
—Please choose an option— Product-based Service-based A mix of both 
What is your preferred business model? 
—Please choose an option— Online (e-commerce, digital services) Offline (brick-and-mortar, local services) Omni-channel (a combination of online and offline) 
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Section 4: Financial Strategy & Planning
 
Do you currently have a business plan? 
—Please choose an option— Yes, a comprehensive and detailed one Yes, but it's still a work in progress No, but I'm planning to create one soon No, I need help to create one 
Have you considered how you'll finance your business? 
—Please choose an option— Personal savings Partnerships Bank loan or line of credit Investment from family/friends Venture capital or angel investment Crowdfunding or other alternative funding I'm not sure yet 
Section 5: Challenges & Support Needs
 
(Select all that apply) 
Developing a clear business plan Securing funding or managing finances Marketing and customer acquisition Building and managing a team Balancing work-life responsibilities Navigating legal or regulatory requirements Other 
(Select all that apply) 
Leadership and management Financial planning and budgeting Marketing and branding Problem-solving and innovation Customer relationship management 
(Select all that apply) 
Strategic planning and goal-setting Financial management and forecasting Digital marketing and sales Operations and logistics Networking and partnerships Other 
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Section 6: Additional Information
 
Have you ever worked with a mentor or coach before? 
—Please choose an option— Yes, and it was very helpful Yes, but it wasn't effective No, this will be my first time 
Do you have a specific timeline for launching/acquiring your business? 
—Please choose an option— Within the next 6 months Within the next year More than a year from now Not sure yet 
Additional Information
 
Please share any additional information you feel would be helpful for the JBL team to know 
The Mentee confirms and agrees that they shall not bring any claim, action, or proceeding against the Mentor in respect of any loss, damage, cost, or expense incurred as a result of relying upon any advice, guidance, or information provided by the Mentor, whether such advice is financial, business, legal, accounting, or of any other nature, in the course of the mentoring relationship, regardless of the nature of the loss. 
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