Application for CEO 1-On-1 Consultations
I'm so glad you're applying for The CEO Velocity Booster Program. This is an amazing program that will help you get to the next level in your business.No matter where you are today, there is room for growth and improvement. In fact, if you weren't looking for growth, you wouldn't be applying at all. So please answer these questions as thoroughly as you can.
Please complete the following questions and email your completed application to .
Thank you and I’m looking forward to the possibility of doing some good work together.
Name: Email:
Phone:Website:
How did you hear about this suite of consultations?
Brief description of your business:
Which CEO 1-On-1 Consultation are you applying for?
__ 90 Day CEO 1-On-1 Velocity Booster. Please indicate desired module.
__ General __ Innovation __ Marketing
__ Strategy __ Communication __ Information & Technology
__ Leadership
__ 6 Week CEO 1-On-1 Pressing Issues
__ 3 Day CEO 1-On-1 Igniter
Your three biggest strategicchallenges:
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Your three biggest strategicassets:
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3.
Years you’ve been CEO of your business:
What are the major sources of your company’s income?
If accepted, what specifically are you hoping to gain from our work together?
Is your business primarily focused in your local region, or is your client baseregional, national, international?
Is your company business to business or business to consumer?
Which products or services are you currently offering to your clients?
Describe your business strategy, going into detail on markets, employees, management, innovation, and marketing?
Describe your company’s performance, dynamics, and “mood” over the past 12 months.
Confidential Financial Information:
What was your gross revenue in 2013? (Ballpark)
What is your target revenue for 2014? (Goal)
What is your target revenue for 2015? (Goal)
Readiness Assessment:
In 250 words or less, tell me why you should be selected for this exclusive opportunity to be part of The CEO 1-On-1 Consultations:
If you are accepted into the Program, will you be able to commit to both the time and financial investment?
Beyond making money, which is a good thing, what is the purpose of your business?
What impact do you want to make with your employees, customers, community, the world?
How would you rate yourself regarding strategy development and implementation?
__Very knowledgeable; serious student; very active in using strategies
__Very knowledgeable; serious student; but not actively implementing
__Somewhat knowledgeable; actively implementing
__Somewhat knowledgeable but not actively implementing
__A relative novice
What other mentoring or coaching programs have you participated in to grow your business?
Pros and cons of your experiences with the above?
Suppose our CEO Velocity Booster Program does NOT generate results for you after the first three months. It will have been because…
What are some personal or professional reasons that this might NOT be the right time for you to invest in a program like this one?
Who else is involved in the leadership, strategy, marketing and business development aspects of your company (COO, CMO, CFO, CIO, VP Sales, etc.)? Would you like them to be involved in our 1-On-1consulting? If so, please describe how.
Is there anything else you would like me to know about you and your business?
THANK YOU for taking the time to ensure we have a great fit. I’m looking forward to the possibility of doing some good work together to help you grow your business strategically and purposefully.
NOTE: You may return this form via emailto
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