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Startupbootcamp Australia | Register - FT23 Selection Days

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Please fill in your mentor profile details below and we&#x27;ll be touch soon with further information.</p></div><div class="grid grid-cols-1 mt-7 gap-y-8 sm:grid-cols-2 sm:gap-x-8"><label for="firstName"><p class="block text-sm font-medium text-gray-700">First Name<!-- --> <span class="text-red-500">*</span></p><div class="mt-1"><input type="text" id="firstName" name="firstName" autoComplete="given-name" required="" class="block w-full px-4 py-3 placeholder-gray-500 transition duration-150 ease-in-out bg-white text-gray-500 form-input focus:ring-sbc-teal rounded-md focus:border-teal-500 border-gray-200"/></div><p class="pt-1 text-sm font-medium text-red-400"></p></label><label for="lastName"><p class="block text-sm font-medium text-gray-700">Last Name<!-- --> <span class="text-red-500">*</span></p><div class="mt-1"><input type="text" id="lastName" name="lastName" autoComplete="family-name" required="" class="block w-full px-4 py-3 placeholder-gray-500 transition duration-150 ease-in-out bg-white text-gray-500 form-input focus:ring-sbc-teal rounded-md focus:border-teal-500 border-gray-200"/></div><p class="pt-1 text-sm font-medium text-red-400"></p></label><label for="company"><p class="block text-sm font-medium text-gray-700">Company<!-- --> <span class="text-red-500">*</span></p><div class="mt-1"><input type="text" id="company" name="company" required="" class="block w-full px-4 py-3 placeholder-gray-500 transition duration-150 ease-in-out bg-white text-gray-500 form-input focus:ring-sbc-teal rounded-md focus:border-teal-500 border-gray-200"/></div><p class="pt-1 text-sm font-medium text-red-400"></p></label><label for="jobTitle"><p class="block text-sm font-medium text-gray-700">Job title<!-- --> <span class="font-light text-gray-400">(Optional)</span></p><div class="mt-1"><input type="text" id="jobTitle" name="jobTitle" class="block w-full px-4 py-3 placeholder-gray-500 transition duration-150 ease-in-out bg-white text-gray-500 form-input focus:ring-sbc-teal rounded-md focus:border-teal-500 border-gray-200"/></div><p class="pt-1 text-sm font-medium text-red-400"></p></label><div class="sm:col-span-2"><label for="email"><p class="block text-sm font-medium text-gray-700">Email<!-- --> <span class="text-red-500">*</span></p><div class="mt-1"><input type="email" id="email" name="email" required="" class="block w-full px-4 py-3 placeholder-gray-500 transition duration-150 ease-in-out bg-white text-gray-500 form-input focus:ring-sbc-teal rounded-md focus:border-teal-500 border-gray-200"/></div><p class="pt-1 text-sm font-medium text-red-400"></p></label></div><div class="sm:col-span-2"><label for="bio"><p class="block text-sm font-medium text-gray-700">Mentor Bio<!-- --> <span class="font-light text-gray-400">(Optional)</span></p><div class="mt-1"><textarea id="bio" name="bio" rows="3" class="block w-full px-4 py-3 placeholder-gray-500 transition duration-150 ease-in-out bg-white text-gray-500 form-input focus:ring-sbc-teal rounded-md focus:border-teal-500 border-gray-200"></textarea></div><p class="pt-1 text-sm font-medium text-red-400"></p></label></div><div class="sm:col-span-2"><div><h3 class="block text-sm font-medium text-gray-700">Sessions/Times</h3><p class="max-w-2xl mt-1 text-sm text-gray-500">You will meet five teams per session. Please select as many sessions as you would like to attend. To meet all teams, you will need to attend all sessions.</p></div><fieldset><div class="mt-4 bg-white border divide-y divide-gray-200 rounded-md border-gray-200"><label class="relative flex items-center px-6 py-5 cursor-pointer"><input type="checkbox" name="sdSessions" id="4864fce37f85" class="w-5 h-5 text-sbc-teal border-gray-300 rounded-sm cursor-pointer focus:ring-teal-400" value="1"/><p class="ml-4 text-sm text-gray-500"><span class="block font-medium text-gray-600 sm:inline">Session <!-- -->1<!-- -->:</span> <!-- -->Tue, 24 Oct, 9:30 pm - 12:00 am UTC</p></label><label class="relative flex items-center px-6 py-5 cursor-pointer"><input type="checkbox" name="sdSessions" id="ec3dd57e1e85" class="w-5 h-5 text-sbc-teal border-gray-300 rounded-sm cursor-pointer focus:ring-teal-400" value="2"/><p class="ml-4 text-sm text-gray-500"><span class="block font-medium text-gray-600 sm:inline">Session <!-- -->2<!-- -->:</span> <!-- -->Wed, 25 Oct, 5:30 am - 7:00 am UTC</p></label><label class="relative flex items-center px-6 py-5 cursor-pointer"><input type="checkbox" name="sdSessions" id="6ff9fb686cb7" class="w-5 h-5 text-sbc-teal border-gray-300 rounded-sm cursor-pointer focus:ring-teal-400" value="3"/><p class="ml-4 text-sm text-gray-500"><span class="block font-medium text-gray-600 sm:inline">Session <!-- -->3<!-- -->:</span> <!-- -->Wed, 25 Oct, 9:30 pm - 11:00 pm UTC</p></label><label class="relative flex items-center px-6 py-5 cursor-pointer"><input type="checkbox" name="sdSessions" id="65612788cfba" class="w-5 h-5 text-sbc-teal border-gray-300 rounded-sm cursor-pointer focus:ring-teal-400" value="4"/><p class="ml-4 text-sm text-gray-500"><span class="block font-medium text-gray-600 sm:inline">Session <!-- -->4<!-- -->:</span> <!-- -->Thu, 26 Oct, 5:30 am - 7:00 am UTC</p></label></div></fieldset><p class="pt-1 text-sm font-medium text-red-400"></p></div><div class="sm:col-span-2"><button type="submit" class="inline-flex justify-center w-full px-6 py-4 text-lg font-medium text-white bg-sbc-teal border border-transparent rounded-md shadow-sm hover:bg-sbc-teal focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-sbc-teal">Register Now</button></div><div class="sm:col-span-2"><p class="text-sm text-gray-500"><strong>Please note:</strong> All details that you submit,<!-- --> <strong class="uppercase">excluding</strong> your email, will be publicly visible on your Startupbootcamp mentor profile.</p><p class="mt-4 text-sm text-gray-500"><span class="text-red-500">*</span> Indicates required fields.</p></div></div></div></div></form></div></div></div></div></div></div></main><div class="pt-4 pb-10 bg-sbc-teal "><div class="relative px-4 mx-auto max-w-7xl sm:px-6 lg:px-8"><div class="max-w-3xl mx-auto lg:max-w-none"><div class="sm:text-center"><h4 class="text-base font-semibold tracking-wider text-sbc-teal uppercase"></h4><h2 class="mt-2 text-3xl font-extrabold leading-9 tracking-tight text-gray-100 sm:text-4xl sm:leading-10"></h2><p 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