Business Leader Forum Interest Form













































  • Professional Information

    An important part of developing our forums, and making them work for all our participants, is to understand the level of responsibility and the business of each potential member. To accomplish that, please fill out the following:
  • Please provide a resume and profile on yourself including details on your current area(s) of responsibility and the size of your area(s) of responsibility measured by revenue, head count, etc.
  • Other Information

  • Forums are typically comprised of business leaders across North Carolina which involves travel to meetings in the Triad, Charlotte or Triangle metropolitan areas in addition to other forum member business locations. Please share any travel limitations you wish to be considered.
  • Additional information about your personal or professional life that you would like to share to help us place you in an appropriate forum.
  • Thank you!

    Thank you again for your interest in our Business Leader Forum offering and for your effort to help us maximize the impact of this offering for you.