Investment Assessment
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MAXEXIT
Group Track — Application & Intent to Proceed
Value Accelerator Program — Group Cohort Delivery
Section 1 of 3
Contact Information
Tell us about yourself
First Name
*
Last Name
*
Email Address
*
Phone Number
Section 2 of 3
Business Profile
Help us understand your business
Company Name
*
Industry
*
Number of Participants
Select
1 (owner only)
2 (owner + 1)
3
4
5+
Annual Revenue
Select range
Under $1M
$1M – $3M
$3M – $5M
$5M – $10M
$10M – $25M
$25M+
Names and Roles of Additional Participants
Normalized EBITDA
Select range
Under $500K
$500K – $1M
$1M – $2M
$2M – $3M
$3M – $5M
$5M+
Number of Employees
Select range
1 – 10
11 – 25
26 – 50
51 – 100
100+
Years Profitable (last 5)
Select
0
1
2
3
4
5
Are you the owner-operator?
Select
Yes
Partial — I have a management team
No
Section 3 of 3
Program Interest
Tell us about your goals and timing
Target Exit Horizon
Select
1 – 2 years
2 – 3 years
3 – 5 years
5 – 7 years
7+ years
Not sure
Preferred Start Timing
Select
As soon as possible
Next quarter
3 – 6 months
6 – 12 months
Why are you interested in the program?
*
What are your biggest current business challenges?
How did you hear about MaxExit?
Electronic Signature
Sign & Confirm Intent to Proceed
Type your full legal name to sign this application
By signing below, I confirm that the information provided in this application is accurate to the best of my knowledge. I am expressing my intent to proceed with the MaxExit Value Accelerator Program and understand that a member of the MaxExit team will contact me to discuss next steps, including an Executive Briefing call. This signature does not constitute a binding contract or financial commitment.
I also understand and agree that MaxExit maintains a strict non-competition policy within each cohort: no two businesses operating in the same or substantially similar industry will be accepted into the same group. This policy protects the confidentiality of all participants and ensures an environment of open, candid discussion. MaxExit reserves the right to decline or defer an application if a cohort conflict exists at the time of intake.
Full Legal Name
*
Signature Preview
Your signature will appear here
I confirm that I am the person named above, the information in this application is accurate, and I wish to proceed with my application to the MaxExit Value Accelerator Program (Group Track).
Submit Group Application
Your information is confidential and will only be reviewed by the MaxExit team.