CEO Peer2Peer Application: Jacksonville

By entering this information, I consent to receive email communications from the Jim Moran Institute for Global Entrepreneurship as the facilitator of the CEO Peer2Peer Groups based on the information collected. This information will be used to match my company with other like non-competing companies to form the CEO Peer2Peer Group. I understand that I will agree to sign a non-disclosure form that prevents any information shared at the CEO Peer2Peer Group from being shared outside of the other members. This application does not guarantee our company will be accepted in a group.
CEO Peer2Peer Group
Location *
First Name *
Last Name *
Title *
Company Name *
Phone *
Phone Type *
Phone2 *
Phone Type 2 *
Email *
Address 1 *
Address 2
Address Type *
City *
State *
Zip *
BUSINESS INFORMATION
Business Founded *
Percentage of Ownership *
2017 Gross Revenue *
2018 Full-time Employees (#) *
2018 Part-time Employees (#) *
2018 Contract Employees (#) *
2018 Estimated Sales *
Business Category/Industry: *
Describe your business: *
Who are your top 3 competitors? *
What are your top challenges in 2018? *
What are 3 business goals for 2018? *
SOCIAL MEDIA INFORMATION
Please provide links to your website and social media pages
Web Site
www.facebook.com/
www.instagram.com/
www.linkedin.com/company/
www.linkedin.com/in/
www.twitter.com/
CEO PEER2PEER GROUP EXPECTATIONS
These groups are not set up for networking but to help CEOs work on their businesses using real life situations. Random advice is not allowed in the group.
Are you comfortable with these rules? *

Do you understand that the information shared in the meetings is confidential and is not to be
shared outside of the group? *

The groups convene so CEOs can confidentially bring issues (good or bad) to a private forum to find out how other businesses dealt with a situation to help them resolve it.
List 3 past issues you would have brought to the group: *

The monthly meetings are mandatory and you can only miss 3 out of 12, but not 2 in a row.
Does this fit your schedule? *
Comments
How did you hear about us? *
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BUSINESS INFORMATION

SOCIAL MEDIA INFORMATION

CEO PEER2PEER GROUP EXPECTATIONS

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