Title:
Your Name (Last name, First name):
Preferred E-Mail Address:
Preferred Mailing Address:
Preferred Phone Number (including country code):
Kellogg Graduation Year:
Kellogg Program (check one):
Gender:
What generation # are you in the family business?
Your Nationality:
This is how I am involved in the family business (check all that apply):
Name(s) of the Family Business(es):
Headquarter location of Family Business (city, state/province, country):
Founding year or acquisition year of the family business:
Company or Family Enterprise website address:
My position/title in the family business is:
Our family enterprise includes the following (check all that apply):
I am most interested in the following family business topics (check all that apply):
I am willing to share my personal experiences with Kellogg Students and/or Kellogg Alums on the following family business topics (check all that apply):
Industries in which the family business is involved:
Countries/regions where the family business has significant active operations (check all that apply):
Is any part of your family enterprise(s) publicly listed (check all that apply):
Number of employees in the family business (approximately):
Annual revenues in the family business (check one):
Number of current family owners/shareholders in the family business (check one):
Approximate number of family shareholders expected in 10-15 years:
Total number of directors on the board of the family business (check one):
Number of fully independent (non-family, non-employee) directors on the family business board (check one):
We invite you to send us a sample item from your family business, as well as material relating to its history, for our Center's display shelves and archives. Please list what you will be sending us:
This survey information may be shared exclusively with (check all that apply):
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