C12 Chair Readiness Questionnaire

First Name

Last Name

Phone

City

State

Organization Website

Which best describes your leadership experience?

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, number of employees, and scope of responsibility.

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 grow.

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 prospective members?

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?

Inland Northwest

Phone Number

Email

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