Startup CEO Roundtable
Application for Cohort I
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Email *
Legal Name of Company *
State of Incorporation *
Name of participating CEO and preferred e-mail *
Number of Shareholders (excluding option holders) *
Number of Board Members *
Describe the business in one sentence *
Describe the business revenue model(s) *
How much financing has the business raised ? *
2020 Revenue (estimate) *
2021 Estimated Revenue *
Number of Employees *
Describe your BHAG(Big Harry Adacious Goal) for 2021 *
Describe three of your biggest challenges in your role as CEO *
What is your favorite thing about your work? *
What is your least favorite thing about your work? *
Which topics interest you that we may touch on? (select as many as you want) *
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