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..Questions
about this form?
Phone
us at
(312) 324-0274
USALC
Chicago National HQ
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USA
LEADERSHIP CORPS
SMALL
BUSINESS PARTNER APPLICATION
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Please
complete the below fields in order to create a report
that
will
help
us assess your
overall business
needs and strategy.
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First Name:
Last Name:
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Company
Information
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Company
Name:
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Website (required):
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First
year of revenue generation (must equal 1 year or older):
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Number
of staff that are compensated, including yourself (must equal 1
or more):
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Postal
Zip Code:
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Are
you a primary 'decision-maker' within your company?
Yes
No
If
not, please provide...
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primary decision-maker's
name:
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primary decision-maker's email:
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Financial
Goal
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Most
significant financial area of improvement:
If
'other,' please describe:
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What
is the unit of measurement that defines success in this area:
If
'other,' please describe:
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What
is your time measurement for success:
.
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What
is your current level of success in this unit of
measurement?
Must be greater than
$0:
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What
is your desired level of success in this unit of
measurement?
Must be
greater than $0:
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How
important is this goal to your company's long term success?
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Plans
and Initiatives
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Describe
the activities that you plan to implement in order to achieve the
stated goal.
1.
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2.
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3.
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How
confident are you that the above plans will achieve the
stated goal?
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Professional
Need
.....
What type of marketing, financial, or other strategic planning
assistance can USALC provide that can
help
you
achieve the above stated goal?
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Is
this professional need worth 50 hours of USALC assistance?
Yes
No
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Additional
Insight, Questions, or Feedback for USALC
Your
Email:
Your Phone:
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