About
Our Story
Our Members
Our Team
Programs
Events
Membership
Recruiting
Training
Assessments
Resources
Webinars
Samples
Articles
Research
Podcast
Careers
Job Board
Post a Job
Salary Report
Join Our Team
Connect
Contact Us
Become a Member
Get Email Updates
Follow on LinkedIn
Member Support/FAQ
AGN Sales Contact Report
AGN Representative
*
First
Last
Prospect Information
Prospect Name
*
First
Last
Prospect Insitution
*
Prospect Title
*
Prospect Email
*
Contact Information
Date of Contact
MM slash DD slash YYYY
Contact Summary
Prospect Feedback
What are the biggest challenges your program is facing today?
Where does your team need more focus and improvement?
If you had more resources (e.g., staff, budget), where would you invest them?
How adequate (1-5) is the professional development available to your team?
Other Information
Likelihood that Prospect will convert to a Member
*
5 (highly likely)
4
3
2
1 (not very likely)
Next steps
Δ