Thank you for your interest in our 2016 Innovation Symposium: Strategies For Maximizing Your Exit. The information you provide will give us a comprehensive picture of your company’s history; past and present performance; and challenges and successes. Please use the questions as a springboard to a fuller description and discussion of both the company and your leadership role.

This application is by invitation only and all applications must be submitted by June 13, 2016. Eighty candidates will be selected for enrollment in the Summit. We will be notifying accepted participants by June 30th, 2016.
SECTION 1: COMPANY OVERVIEW

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* 1. What is your full name?

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* 2. What is the name of your company?

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* 3. What is your company's address?

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* 4. What is your phone number?

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* 5. What is your email address?

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* 6. What is the URL of your company's website?

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* 7. What is your position at the company?

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* 8. Are you a majority shareholder of the company?

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* 9. Is your company a private, entrepreneurial or family business?

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* 10. Describe your company’s products and/or services.

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* 11. What year was the company established?

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* 12. How many people does the company employ?

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* 13. What was the average Employee Turnover Rate for the past 2 years?

SECTION 2: LEADERSHIP INFORMATION

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* 14. How would you describe the state of the company when you established / first joined it?

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* 15. How would you describe its current state?

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* 16. When you think of the company, what makes you most proud?

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* 17. What has been the most challenging situation you have dealt with?

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* 18. What would you describe as your unfinished business?

SECTION 3: REVENUE INFORMATION

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* 19. What is your current annual revenue?

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* 20. What is your current EBITDA?

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* 21. Please provide a comparison of present revenue to past five years’ revenue figure.

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* 22. Do you have recently audited financials available?

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* 23. Have you had a company valuation done?

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* 24. If so, when and what was the valuation?

SECTION 4: SECTOR INFORMATION

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* 25. What is your industry sector?

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* 26. Who is your most formidable competitor and why?

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* 27. What is your market share relative to your competition?

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* 28. How does your company’s financial performance compare to that of the sector in general?

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* 29. What does your company do well that no-one else in your sector can do well?

SECTION 5: EXIT INFORMATION

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* 30. Are you considering exiting, merging or buying a business in the next 2-4 years?

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* 31. How would a merger/acquisition affect the company’s stakeholders, e.g. employees, board members, customers, investors, etc.? 

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* 32. What role in the company do you see for yourself during and after a merger/acquisition?

Thank you for completing the survey. Please click the DONE button below. We will review your application and let you know our decision soon.

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