Begin with this Questionnaire Url Begin with this Questionnaire What are the reasons that this is the right time for you to join a CEO Roundtable? Check all those that apply Increase revenue Experience relief by having big decisions understood Focus on values based leadership and meaningful work Share innovative ideas for feedback Develop your executive team's development Plan for succession Reinvigorate your energy for the job Realign mission to match your values Challenge your thinking in a respectful, informed and skillful way Practice your new strategy before presenting it to the board Support for thinking through your own next chapter Full Name * Company * Title Email * Phone Number * Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Years with Company Years Company in Business Industry Other industries if more than 1 business unit Approx Revenues Number of total employees Number of direct reports Number of locations (global or domestic?)
