C12 Chair Readiness Questionnaire

Becoming a C12 Chair is not a conventional job change. It is an entrepreneurial and spiritual calling to build a C12 practice, lead peer advisory forums, and coach Christian CEOs.

This brief questionnaire helps us determine whether an initial confidential conversation would be worthwhile. Please allow approximately 7–10 minutes to complete it.

Name

First

Last

Phone

City

State

Organization Website

Which best describes your leadership experience?

that the attracts

How many years of business ownership, C-suite, or senior executive leadership experience do you have?

Briefly describe the largest organization or business unit you have led. Include your title, approximate annual revenue or budget, number of employees, and the scope of your decision-making authority.

Why are you exploring becoming a C12 Chair at this point in your life, and what specifically attracts you to this opportunity?

Briefly describe your Christian faith, current involvement in a local church, and the spiritual practices and relationships that help you remain accountable, grow in Christ, and lead from an abiding relationship with Him.

What attracts you most strongly to this opportunity?

Coaching and challenging Christian CEOs
Building and growing a C12 practice through relationships, prospecting, and member development
Both Equally
Finding my next executive position
Exploring options; I am not yet sure

Which statement best describes your experience and willingness to consistently initiate new relationships with CEOs and business owners?

I have successfully built a business, client base, donor base, membership organization, or professional network through consistent personal outreach.
I am comfortable initiating relationships and willing to follow a disciplined weekly prospecting process.
I am willing to learn, but I have limited experience initiating new business relationships.
I strongly prefer coaching or serving people after someone else has developed the relationship.

How long could you responsibly pursue this opportunity before it would need to provide substantial personal income?

What is your spouse’s or immediate family’s current awareness of and response to your exploration of this opportunity?

We have discussed it, and they are supportive.
We have discussed it, and questions or concerns remain.
I have not yet discussed it with them.
Not applicable.

Do you understand that this is an independent-contractor business opportunity—not a salaried employment position—and that it requires personal investment in training, travel, prospecting, and practice development, with no guaranteed income or financial outcome?

Overwhelmed to leading with purpose.
Business-as-usual to impactful stewardship.
Solo struggles to a supported, thriving community.

Quick Links

Contact Info

Phone Number

715-459-9611

Email

Tom.Walther@C12Forums.com

Join C12

JoinC12.com

Inland Northwest