PowerLink CEO Circle Application Join a PowerLink CEO Circle Today Complete the survey below to learn how PowerLink can assist you in reaching your next level of success. Question Title * 1. Check which of the following apply to your business (check all that apply): I have been selling my product or service for more than one year My business has done more than $250,000 in sales within the last twelve months My business has at least one full time employee (may include owner) I have a written business plan I have an active website or brochure I have completed small business training classes or I have a business degree I have prior small business experience I am NOT the business owner Other (if applicable) and please also list your Industry below: Question Title * 2. Company Address Full Name Title Company Name Company Address Company City/Town Company State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Company ZIP/Postal Code Company Phone Number Company Email Address Company Website Question Title * 3. Check which areas you are currently experiencing challenges with (check all that apply): Sales Cash Flow Entrepreneurial Mindset/Focus Paying Self Time Managment Work/Life Balance Niche/Value/Brand Marketing Product Development Financials/Accounting Business Plan/Succession Operations Other (please specify) Question Title * 4. Sales Revenue (Previous Year) Under $50,000 Between $50,000 - $250,000 Between $250,001 - $1,000,000 Between $1,000,001 - $5,000,000 Above $5,000,000 Above $10,000,000 Question Title * 5. Sales Revenue (Current Year) Under $50,000 Between $50,000 - $100,000 Between $100,001 - $250,000 Between $250,001 - $1,000,000 Between $1,000,001 - $5,000,000 Above $5,000,000 Above $10,000,000 Question Title * 6. Are Financials Available (Profit & Loss Statement or Income Statement; Balance Sheet; Statement of Cash Flows; Etc.)? Yes No Unsure Question Title * 7. List 3 business goals you have for the year: Question Title * 8. PowerLink CEO Circles will be offered the 2nd and 3rd week of each month. Please select which session works best for your schedule? Acceptance is subject to review for non-competitive participants and eligibility for certain CEO Circles. 2nd Tuesday of the Month (Cranberry Township) 8:30 - 10:30 am 2nd Wednesday of the Month (Monroeville Area) 3:30 - 5:30 pm 2nd Thursday of the Month (Indiana County) 3:00 - 5:00 pm 3rd Tuesday of the Month (Penn State) 3:00 - 5:00 pm 4th Tuesday of the Month (Northside) 5:30 - 7:30 pm 3rd Thursday of the Month (Washington) 3:00- 5:00 pm Last Thursday of the Month (Wilkinsburg) 10:00 am - 12:00 pm Question Title * 9. I would like to request an informational call regarding a Custom PowerLink Advisory Board. Yes No Question Title * 10. Are you willing to invest time, money, and energy into growing your business to the next level of success? Yes No Unsure Submit