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Interim CEO 24/7 - Client Inquiry
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Company or Organization Name
Your answer
Website Address
Your Company or Organization's website
Your answer
E-Mail
*
Your preferred contact e-mail
Your answer
Phone - Work
Include Country Code if Required / Area Code in U.S.A.
Your answer
Phone - Cell
Include Country Code if Required / Area Code is U.S.A.
Your answer
City
Your location
Your answer
State
*
Your answer
Country
*
U.S.A.
Canada
United Kingdom
France
Germany
China
India
Japan
Other:
Your Title
*
Chairman or CEO
Board of Directors
COO
EVP
CFO
Managing Director
Managing Partner
Other:
Required
Industry
*
Consumer Packaged Goods
Engineering or Construction
Financial Services
Government - Local, State, Federal
Healthcare - Hospital, Bio-medical, Bio-pharmaceutical
Manufacturing
Media
Retailing
Technology - IT, Biotechnology
Telecommunications
Transportation
Utilities
Wholesale Distribution
Non-Profit
Private Equity
Venture Capital
Other:
Size of Organization
1 to 10 employees
11 to 100
101 to 1000
1001 to 10,000
10,001 to 100,000
100,001 and larger
Clear selection
Nature of Inquiry
*
Turnaround, Restructuring
Change Management
Succession
Startup
International expansion
Outside Director for Board
Entrepreneur in Residence
Other:
Required
Financial Statements
*
Audited
Unaudited
None
Timeline
*
Estimated Start Date
Immediate Need
Next 30 Days
Next 60 to 90 Days
Within Six Months
Other:
Interim Position(s) Required
*
CEO
CFO
CIO / CTO
CMO
CRO
Other:
Required
Anticipated Length of Engagement
*
How long will you require an Interim CxO
90 days
6 months
12 months
18 months
24 months
Other:
Notes
Include any priority item, if not listed above
Your answer
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