1. Your Profile

 
 25% of survey complete.
To register your interest as an Advisor, please complete the following form. You will receive information on future opportunities suitable for you.

To be eligible you must:
- be a successful entrepreneur, business person, industry expert or professional advisor
- have at least 5 years experience in your area of expertise
- meet one of the following criteria:
1. Professional Advisor - have a track record advising businesses with turnover $50m+ per annum
2. Entrepreneur - your business has turnover $50m+ per annum
3. Business Leader - CEO, Managing Director or Director in a private business with turnover $50m+
4. Business Leader - senior management position of a publicly listed company with turnover $200m+
5. Political Leader - politician who has held a Ministerial Portfolio at Federal or State level

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* 1. First Name

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* 2. Last Name

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* 3. Position

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* 4. Company

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* 5. Type of business/company (ie. law firm, advertising agency, cafe franchise)

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* 6. Industry

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* 7. Website

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* 8. Mailing Address

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* 9. Location

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* 10. Email Address

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* 11. Phone Number(s)

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* 12. Your Age

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* 13. Your Gender

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* 14. Where did you hear about the opportunity to register interest as an Advisor? (Please provide Name of referrer and method ie. SME Boardroom email, SME Boardroom Facebook, PwC letter, My Busienss Magazine newsletter)

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* 15. What do you believe will be the biggest issue for growing businesses over the next 12 months?

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