Ways to Help
Innovators: Membership Commitment 2023
Lurie Children's Innovators 2023 Membership Commitment
Thank you for your support and commitment to the 2023 Lurie Children’s Innovators.
Primary Member:
First Name
Last Name
Email Address
Will your partner be participating in Innovators with you?
Yes
No
Please enter your partner's name
Please enter your partner's email address
I/we pledge to sign up for the 2023 Class of Innovators. As an Innovator:
Please select all to commit to your 2023 Membership.
I/we commit to an investment of $5,000, due by November 2023.
I/we will try my best to attend all engagement opportunities, especially the Annual Project Event in November.
I/we will serve as an ambassador for Lurie Children's Innovators.
Are you an Innovator renewing your Innovators membership?
Please select response
Yes
No
Have you filled out information for the Innovators Membership Directory previously and is this information still current?
Yes
No
Please list any new information from 2022 to update our Innovators Directory (phone, email, employer).
Are you comfortable sharing your information in our password protected Innovators Directory?
Email
[email protected]
to preview the Directory.
Yes
No
Please enter your phone number(s) with the corresponding contact name.
Please enter your place(s) of work with the corresponding contact name.
Are you interested in networking with other Innovators?
Yes
No
Why did you join Lurie Children’s Innovators?
What other organizations are you involved in?
Are you comfortable sharing a picture to be shared in the Innovators Directory?
If so, a member of the Innovators team will follow up with you
Yes
No
Submit
