ICAN General Interest Form

1. First and last name *This question is required.

2. Email address *This question is required.

3. Company name *This question is required.

4. What ICIC program did you participate in? *This question is required.

5. Please check the opportunities you would be interested in engaging in as an ICIC alumni (indicating
interest is not a commitment – we will follow up with more information!): *This question is required.

Becoming a chapter steering committee member
Speaking opportunities (e.g. webinar, in-person event)
Nominating businesses for ICIC programs
Volunteering as a mentor for an ICIC alumni business

5. Steering Committee Duties & Time Commitment:
• Serve in the role for at least a one-year term (option to renew)
• Participate in quarterly one-hour steering committee meetings (more often if an event is approaching)
• Attend in-person local chapter events and virtual ICAN events (both typically 2x a year)
• Help promote ICIC events and programs to your network

Please indicate "yes" if you are able to commit to this opportunity. *This question is required.

5. What days/times are you most available for Steering Committee Meetings? *This question is required.

5. Please rank your top 3 areas of expertise in order of proficiency (ie. your highest area of expertise should be listed first). *This question is required. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

Business Strategy
Access to capital
Understanding your financial statements
Securing contracts
Business negotiation & partnerships
Talent recruitment & retention
Marketing and Leveraging web/ social media
Succession planning
Supplier diversity
Sustainability / ESG
Product development

5. Please provide the name and contact information for any businesses you would like to nominate for an ICIC program.

5. Are you interested in being contacted to learn more about ICIC's programs? *This question is required.

Thank you so much for your interest in an ICIC Urban Business Initiative (UBI). We will be in touch.

Learn more about our programs at icic.org.

5. Please provide any other feedback, comments, or information about yourself/your company we should know.