CEO Peer Mentoring Application

Section 1: Program Eligibility

33% of survey complete.

Please note that this questionnaire will take approximately 10 minutes to complete.

To register for the next information session or to learn more about the program we require you complete all three sections.

All information remains confidential and will be used as the basis for the program selection.

Please select the options which best apply to your business.

Question Title

* Annual Program Cost

I am a Chamber member - I am aware that the annual cost of this program is $2499 (program consists of 10 x 4 hour peer mentoring sessions, scheduled once per month from January - December)

I am not a Chamber member - I am aware that the annual cost of this program is $4998 (program consists of 10 x 4 hour peer mentoring sessions, scheduled once per month from January - December)

I am interested in speaking with a Relationship Manager about becoming a Chamber member

Question Title

* Commitment to Attend

If I am accepted in to the program, I am willing to commit to attending monthly, half day meetings.

Question Title

* Additional Information Requested

I am interested in the program but want to learn more and would like someone to contact me to answer questions. Please note, you have to complete the rest of the application for this request to be processed.