About You

First Name *

Last Name *

Email *

Phone *

Linkedin Profile

Your Role *

CEO/Owners
Operations Manager
General Manager
Project Manager
Other
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Years in Current Role or Industry *

0 -1 year
2 -3 years
4 - 5 years
6 - 7 years
8 - 10 years
More than 10 years
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About Your Business

Company / Organization *

Website

Industry / Sector *

Briefly describe what your company does

Size of company / team

1-5
6-10
11-15
16-20
21+
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Peer Group Experience

What’s one business challenge or opportunity you’re working through right now?

What’s one thing you hope to get out of joining a CBC group?

What’s one thing you feel you could offer or contribute to other group members?

Are you willing to give and receive candid feedback, and be present with your group each month? *

Yes

Not sure, but open to it

Fit and Logistics

To keep groups valuable for everyone, we avoid placing direct competitors together. Please share the types of companies (by name or description) that you consider your main competitors.

Is there anything else we should know as we review your application?

Agreements

I understand that my application will be screened for group placement / fit and to avoid direct competitors. *

Yes

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