Center for Family Business
Membership Application

Required fields are marked with an *.

Thank you for your interest in the UT Center for Family & Privately-Held Business! To join, please complete the following application and submit your $400 membership payment (the payment link is below). The information we collect is used to help us understand your company better, which helps us to coordinate affinity groups and develop more applicable and relevant programming. We do not share any information that is not already public with any third party. All membership applications will be reviewed by the Center's executive committee.

Company Name *
Primary Business Address *
Primary Business Phone *
Primary Business Fax

Primary Contact Person *
Primary Contact Phone *
Primary Contact Title *
Primary Contact E-mail *

Do you have additional facilities other than your primary?
 



Please send invoices to
Name *
E-mail *

Website

Social Media Networks
Twitter:   
Facebook:
Pinterest:
LinkedIn:
Other:   


Number of employees (approx.)


Please list the names/email address of everyone in your family/company that you would like to receive Center information and event invitations:

Name
Title
Email
Phone
 
 



Sales Range
Under $1 Million
$1-$5 Million
$5-$30 Million
$30-$50 Million
$50-$100 Million
Over $100 Million

Year the company was founded

Family Owned or Privately-Held? *
Family Owned
Privately-Held

How did your family attain the business?
Purchased
Established


What generation is managing the business now?
First
Second
Third
Fourth
Fifth
Greater Than Fifth

Is your business fully family owned?
Yes
No
Explain if necessary


How many family members work in the business?


Is your goal to remain a family owned business?
Yes
No

Please list your mission statement


Who founded the company?

Describe the ownership status of the company
Solely Owned
Partnership

Describe the status of the next generation of your business
Family
Non-Family
Both

Please contact the following people for affinity group participation
Affinity groups are small, confidential roundtable discussion groups where members have the opportunity to learn more about best practices and each other. This safe learning environment is a powerful venue for business leadership development.
Name
Title
Email
Phone
Preferred group meeting time (check all that apply)
7:30 - 9am
Noon - 1:30pm
3:30 - 5pm with optional dinner after
 
 


How did you hear about the Center?


Why are you joining the Center?


Please list any topics that are of special interest/concern.


 I have read and agree to abide by the following value statement of The University of Toledo Center for Family & Privately-Held Business.

We endeavor to share openly with one another, conducting ourselves at all times in a professional and ethical manner. The Center is member-driven, avoids commercialism and solicitation of fellow members, and supports an environment of mutual trust.

The $400 membership dues can be paid online at http://www.utoledo.edu/centers/cfb/payment.html, or by sending a check made payable to the UT Foundation to:

The UT Center for Family & Privately-Held Business
MS 103
2801 W. Bancroft St.
Toledo, Ohio 43606-3390

Please note UT Center for Family Business in the memo line.

 

Center for Family Business (Phone: 419-530-4425)
For Questions and Comments about this site, E-Mail CFB angie.jones@utoledo.edu