CEO XChange Application

Requirements: Must commit to participate in a CEO roundtable group approximately three hours/every month plus visits to your business.

*Must be leading a business with at least $1M in annual revenue.*

* First name

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* Last name

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* Job title

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* Email

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* Phone number

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* Company

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Address

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* City

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Country

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State/Province

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ZIP/Postal

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Business Year Start Date

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Business Website

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Business Description

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Current Number of Employees

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* My annual business revenue is at least $1 million.

Yes

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Business Revenue 2021

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Business Revenue 2022

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Business Revenue 2023

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Projected Revenue 2024

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Can you commit to onsite business visits?

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Can you commit to participate 3 hours/month

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In consideration of the counselor(s) and members of CEO XChange/Florida SBDC at FAMU furnishing management or technical assistance, I waive any and all claims for loss, damage or injury against FSBDC and its employees, agents, volunteer advisors and host organizations, arising from or in connection with this assistance.

Florida SBDC at FAMU | 625 E. Tennessee St. FAMU Foundation Building Suite 200 | Tallahassee, FL 32308 US

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