Status Report
Please email with any questions or concerns.
Company Legal Name *

Primary Contact First Name *

Embedded Executive First Name *

How many hours did your Executive work? *

This number will be used to confirm the invoice.
Has your Executive helped you hit any additional significant events?

Example: IP Creation, Acquired, Funding, Partnership, New Strategy, New Clients, New Market Entry, Winning a Competition, etc.
Did your Executive provided you with any Business Introductions?

If so, could you please tell us about the connection (who and why)?
Example: Tim Smith, COO at Google for advice on a partnership.
Project Status *

Why? *

Program Feedback

Please rate your Embedded Executive's performance. *

Embedded Executive Feedback *

Please rate the Embedded Executive program. *

Program Feedback *

Thank you.
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