Name *

First Name

Last Name

Phone

(###)

###

####

Are you legally authorized to work in the U.S.? *

Yes

No

Have you held the title of Chief Operating Officer (COO) or Chief Strategy Officer (CSO) for ≥ 3 years in a prior company (not as a consultant)? *

Yes

No

Select Industries

You have deep knowledge or expertise

Ecommerce/DTC

Professional Services

Education

Healthcare

Financial Services

Technology/SaaS

Hospitality

Manufacturing

Constrution

Other

When could you begin?

MM

DD

YYYY

Comfortable with in-frequent Client Travel?

Yes

No

I consent to On Call COO storing my information for recruiting purposes. *

Yes

No

I certify that the information provided is true and complete. *

Date of Submission *

MM

DD

YYYY