Please complete the main information for the person participating in ExecGen. Note that ExecGen requires on average, a monthly time commitment of 4-7 hours per month. ExecGen fees are $6,500 for profit/$4,800 nonprofit. Completing this form indicates you understand the time and financial commitment and that the person on this form is willing and able to participate fully in the program. This includes a mandatory, 2-day Launch Event on February 6 and 7, 2020. If the participant cannot attend the Launch Event, they cannot participate in ExecGen. Once we receive your form, we will reach out!