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Company

Company Address

City

State

Country

Zip Code

Business Phone

Company Website

Full Name

Position

Cell Phone Number

Number of Employees

Annual Revenue

What is your desired outcome from our program?

What challenges could get in the way of that goal?

What have you tried in order to improve your customer experience and to improve company culture in the past (training, consultants, programs, etc. )?

How much in annual revenue could your company be losing out on right now due to lost customers, employee turnover and mis alignment of customer experience and company culture? (Your best estimate)

Do you have a per employee budget for learning and development?

Anything else you would like us to consider when reviewing your application?

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