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Please take the time to carefully complete the following information. How you answer these questions helps determine in which roundtable group you will be placed. Timeliness and commitment in attending these monthly meetings is mandatory. Missing more than three meetings will disqualify you from the group. Participants must be committed to attending a minimum of 9 out of the 12 monthly meetings. Fields marked by an asterisk (*) are required.

Name (*)

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Title (*)

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Company (*)

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Business Address (*)

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Business Phone (*)

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Cell Phone

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Fax

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EMail Address (*)

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Web Site

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Blog

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Linked IN

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Industry - Briefly describe your business, including your target market and main focus of business. (*)

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Is this your full-time business? (*)
YesNo
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Number of Full Time Employees

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Number of Part Time Employees

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Number of 1099 contractors?

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Year business started?

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Total number of years in business?

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Are you active in the day to day management of your company?
YesNo
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Are you involved in controlling your company's financial resources on a day to day basis?
YesNo
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Please check one:
IncorporatedLLCSole Proprietor
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How do you percieve yourself and your company in your business' current stage of growth, including your challenges and successes? (*)

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Are you a current member of NAWBO Atlanta? (*)
YesNo
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Are you willing to sign a Confidentiality Agreement to provately hold any information heard or discussed in your group?
YesNo
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Do you have current written goals and objectives for your company?
YesNo
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The Roundtable is not a social or networking event. The mission is to work together as a group, with a focus on improving your business. With that in mind, what do you want to learn (or receive) this year as a result of your participation? How will your involvement assist you in improving your business and management skills? (*)

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What expertise will you bring to your Roundtable? (*)

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Are you open to receiving feedback on your business operations from your group? (*)
YesNo
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Please note that every effort will be made to separate competitive companies in the Roundtables, although, this is not always able to be achieved. Are you aware of any companies within NAWBO Atlanta that are direct competitors of your company? If so, please list them.

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Please note that the Round Table Meetings usually last up to 3 hours. Various days and locations around Atlanta are available. Please list your desired location and day of the week, in order of preference:

Location Information

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Time of Meeting Preferred (*)
MorningAfternoonEvening
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We cannot guarantee immediate placement or necessarily meet all of your preferences, but we are committed to doing our best to provide a round table that fits your needs.

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