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Applicant Information

Name*

Job Title*

Phone*

Email*

Who is your primary customer? (B2B, B2C, Government, Mixed)*

Monthly Team Meeting Preference

To get the most from this program, attendance is paramount. Please select preferred dates & times that would work with your schedule in order to meeting the regular attendance requirements of this program.

Preferred Day*

Monday

Tuesday

Wednesday

Thursday

Preferred Time*

Morning

Afternoon

Are there any days/times that do NOT work for you?*

Types of Roundtables

The CEO Roundtables bring together top executives in Gwinnett and metro Atlanta for peer-to-peer discussions that foster collaboration, leadership growth, and business strategy insights.

The Leadership Exchange Roundtables support directors, managers, and people leaders who sit at the vital intersection of leading teams while managing up to executive leadership.

Which Roundtable are you interested in joining?

CEO Roundtables

Leadership Exchange Roundtables

Do you have final or shared decision-making authority for your organization?

Final Authority

Shared Authority

Advisory Role

No Decision-making Authority

Other

Who do you report to, and what decisions are you responsible for?

What leadership skill are you most interested in developing right now?

How do you plan to apply insights from Leadership Exchange back to your team or organization?

Attendance

Participation in the Roundtables program maintains mandatory attendance requirements for the following reasons:

Members gain the most value from active involvement and in-person discussion.
Presenters rely on the collective knowledge and insights of the entire team for valuable feedback.
Missed meetings deprive the team and block opportunities for other qualified applicants to join.

If regular attendance is not possible, please refrain from applying until such a time in which you can commit to regular attendance.

I have read the Roundtables Handbook and agree to the outlined requirements.

I have read the CEO Roundtables Handbook and agree to the outlined requirements.*

Yes

Application Prepared by

Name

Job Title

Phone

Disclaimer*

Applicants are not guaranteed acceptance into the program. The Gwinnett Chamber reserves the right to use its discretion when choosing participants for the program.

I agree

Would you like to be a facilitator?*

Yes

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2026 Roundtables Application

Applicant Information

Company Information

Monthly Team Meeting Preference

Types of Roundtables

Attendance

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