Chicagoland Entrepreneurial Center
About Us CEC at Work News Sponsors & Partners Contact Us
CEC At Work
Sales & Client Development
One-on-One Services
Grant Award Program
Accelerator Seminar Series
Financing
One-on-One Services
Illinois Innovation Accelerator Fund
Venture Forum
Early Stage Marketplace
Bank Academy
Grant Award Program
Accelerator Seminar Series
Accelerating New Ventures
Entrepreneur in Residence Program
ATHENAPowerLink®
Testimonials
Toolkit for Business Owners and Advisors
Future Founders
Get Involved (Volunteers)
Business Plan Competitions
Photo Gallery
Stitches Fashion Program
Innovate Illinois
Grant Award Program
Accelerator Seminar Series
Client Successes
The CEC's Impact in 2007
Case Studies
Decrease Text Size Increase Text Size Text Size

VOLUNTEER ADVISOR SURVEY

*Name
*Current Employer
*Title
Work Address
City
State
Zip
Work Phone (Include area code.)
Mobile Phone (Include area code.)
Work Fax (Include area code.)
*E-mail
Website
Type of Industry
 
1. Business Size by Annual Revenue
Up to $500,000
$500,000 - $1 million
$1 million - $10 million
$10 million plus
 
2. Other industries that you have experience working in and years of experience
Experience 1 Experience 2
Industry
Company
Years of Experience
Position
 
3. Are you Self-Employed?
Yes    No
 
4. Areas of Expertise & Years of Experience (i.e., Marketing, PR, HR, Accounting, Legal)
Area of Expertise Years of Experience
Primary
Secondary
Tertiary
 
5. Current professional organizations that you are a member of
1.
2.
3.
 
6. Teaching, coaching or mentoring programs that you have been involved with in the past
1.
2.
3.
 
7. How did you hear about, or who referred you to ATHENAPowerLink® program?

I submit this survey with the understanding that service on an ATHENAPowerLink Advisory Panel is on a strictly volunteer basis. I hereby agree to not conduct any explicit or implicit business transactions for personal gain with matched women business owner participants during the term of my service on their Advisory Panels.

*Denotes a required field.
Print This Page Print This Page Forward To A Friend Forward To A Friend