Private Consultation Application

PRIVATE CONSULTATION APPLICATION

Please complete the following with as much detail as possible. All information is confidential.

Full Name: *

Organizational Role/Authority: *

Company Name: *

Website: *

Social Media: *

Phone: *

Email: *

GENERAL COMPANY INFO

Year Company Established: *

Number of Locations (Domestic and Foreign): *

Number of Employees, Independent Contractors, Temporary/Seasonal: *

Annual Revenue: *

Industry, Area of Specialization: *

Flagship Product/Service Offering: *

Current Target Market, Customer Profile: *

Who would you like your Customer to be? *

Where do you envision your company within the next 6-18 months? *

On a scale of 1-10, rank the effectiveness of your marketing? *

What would like to achieve during our engagement AND why does it matter to you: *

Are there any other initiatives underway that may affect the outcome? *

What has been your greatest challenge? *

What has been done to overcome it/them? *

What were the results? *

What business accomplishments are you most proud of? *

Additional Comments:

I understand that by working with Khrys Vaughan/In Her Company, I am committing to focus on this program and do the work. I understand that I am investing in the outcome I seek; that it covers more than programs, consulting, logistics, materials, et cetera. And that by entering this engagement, it removes a seat someone else could have invested in. As a result, I understand my investment is non-refundable. NO EXCEPTIONS. I am committed to the process and my transformation. *

I Agree.