Preliminary Application

Thank you for your inter­est in work­ing with me. Please fill out the fol­low­ing pre­lim­i­nary appli­ca­tion form. I turn down the major­i­ty of new client inquiries when a prospec­tive client isn’t a good fit. My track record for results is very high in my “sweet spot”. The sweet spot is deter­mined by a com­bi­na­tion of the clien­t’s tar­get mar­ket, com­pa­ny life stage, and CEO skillset.
 
After sub­mit­ting your com­plet­ed appli­ca­tion, I will review it with­in a week. If there’s no fit, my staff will let you know along with any appro­pri­ate refer­rals to oth­er resources. If the fit looks promis­ing, my staff will sched­ule an inter­view for me to learn more about you and your busi­ness and for you to learn more about me to mutu­al­ly decide if work­ing togeth­er makes sense.
I am apply­ing for:
First Name *
Last Name *
Com­pa­ny *
Job Title *
Email *
Annu­al Rev­enue *
Web­site
# of Employ­ees: *
Busi­ness Descrip­tion *
Product/ Ser­vice Descrip­tion *
Tar­get Cus­tomer *
Finan­cial Per­for­mance of Com­pa­ny (Sales growth rate? Cash flow pos­i­tive — yes or no?) *
Goal for Next Year *
3 Biggest Obsta­cles *
3 Biggest Oppor­tu­ni­ties *
What are You Hop­ing I can Help With? *
What Would Have to Hap­pen with­in 12 months of work­ing togeth­er for you to see this as a suc­cess­ful endeav­or? *
Check Here IF you want to be added to the wait list in the case that no open­ings are avail­able.
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