Company Name *
Contact Name *
Job Title *
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming
Why are you interested in participating? Why is this commitment important to your company at this time?
What potential outcomes or impacts do you anticipate for your company? What do you want to learn or improve?
What are the top three priorities in achieving your company's vision?
What will success look like for your company in 3 – 5 years?
What is the time horizon for your company?
Select an AnswerA continuous existence into the futureA horizon of at least 25 yearsA horizon of at least 10 yearsA horizon of at least 5 yearsAn exit strategy in which the company is acquired or merged at some stageAn exit strategy in which the company is closed when it ceases to be competitive
I commit to being an active participant in the Genesis Movement. I understand this includes attendance at peer learning events, working closely with IMEC staff to create and implement a strategy map, and to pay it forward through a financial donation and invitation of another company. I also agree to participate in impact surveys and evaluation of the process. I understand all data will be held confidentially.