Business Over Coffee International

Date * MM / DD / YYYY

Evaluate the following statements. *
	Strongly Disagree	Disagree	Agree	Strongly Agree
I commit to uphold BOCI Values; upholding integrity with connections, collaboration, exposure and business	1	2	3	4
I commit to oversee my assigned position with excellence and accountability	1	2	3	4
I understand the open door policy of BOCI Founder	1	2	3	4
I agree to attend monthly Chapter Leader training virtually and/or in-house	1	2	3	4
I agree to host radio show and/or BOCTV as a representative of BOC	1	2	3	4
I understand BOCI defining statement, "We work with professionals who want to optimize their business through social media, educational exchange and networking events"	1	2	3	4
I agree with BOCI Mission: "Bringing Everyone Together"	1	2	3	4
I agree to hold one "Click and Connect" event per month	1	2	3	4
I agree to post each event - Virtual and/or in-house on official site, www.businessovercoffee.biz and promote monthly	1	2	3	4
I agree to become an active part of BOCI online social community	1	2	3	4
I agree to set up profile named for Chapter on BOCI official site	1	2	3	4
I agree to set up profile named for radio show on BOCI official site	1	2	3	4
I agree to submit monthly report to home office regarding chapter members, financials, events, radio and BOCTV show	1	2	3	4
I commit to 1 year of service as BOCI Chapter Leader	1	2	3	4
I commit to remain confidential regarding member and/or BOCI proprietary information	1	2	3	4
I agree to a non-compete with BOCI for 1 year after BOC Chapter Closure	1	2	3	4
I understand that 50% of member dues and/or advertisment dollars collected from chapter members will be sent to me via paypal at end of each month	1	2	3	4
I understand that report must be submitted by 15th of each Month in order to receive payment by end of Month	1	2	3	4
I agree to set up a PayPal account to accept payments from BOCI retained from member dues and/or advertisement	1	2	3	4
I agree to provide home office with email linked to PayPal in order to receive payments	1	2	3	4
I understand that BOCI retains the right to close Chapter or replace leader upon breach of this agreement	1	2	3	4

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Number * ### - ### - ####
Website *
Please provide the following information to connect@businessovercoffee.biz. Membership must be approved via www.businessovercoffee.biz for consideration. *
Biography Professional Photo Three Letters of Reference
This format will serve as a written agreement between BOC and approved Chapter Leader. Please state reason for selecting anything less than "agree" on format above:
Do Not Fill This Out

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