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Whetstone Application Form
1.
Please provide us with your contact Information.
Your name and title:
Company name:
Position:
Industry:
Email address:
Phone:
2.
Over the course of the next twelve months, my goals are:
1.
2.
3.
4.
5.
3.
Please list your top THREE challenges.
1.
2.
3.
4.
Most business are in the following stages.
Please check the stage which represents where you are at the moment.
Growing
Stagnant
Declining in Growth
5.
Please give reason.
6.
Do you have written business and personal plans? Check if yes.
Business
Personal
7.
How would you rate yourself?
Good
OK
Poor
Ability to plan
Good
OK
Poor
Ability to lead/manage
Good
OK
Poor
Ability to communicate
Good
OK
Poor
Ability to balance life/work activities
Good
OK
Poor
Ability to control your own schedule
Good
OK
Poor
8.
Which of the following best describes you?
Outgoing
Reserved
9.
Which of the following best describes you?
People oriented
Task oriented
10.
My acceptance into a Whetstone Personal Board of Advisors is important to me because: (Your compelling "Why")
Current Progress,
0 of 10 answered