Communications, Press & Publicity Interest Form

Program Participant Form

iCU Community Organization, NFP
Thank you for your interest in participating in a program hosted by iCU Community Organization, NFP.

Our purpose is to enrich Chicago's suburban neighborhoods with multicultural events, inclusive programming, and community resources.

Participant Role Description
As a participant, you will play a key role in shaping an impactful event that bridges education and inspiration. Your expertise will directly contribute to creating meaningful learning experiences for youth and adults alike. Participants will collaborate with iCU Community and fellow experts to deliver dynamic, hands-on programming and mentorship opportunities.

Responsibilities: (may include, but not be limited to)
- Facilitate engaging workshops, live demonstrations, or collaborative challenges within your area of expertise.
- Collaborate with event organizers and other participants to design impactful activities tailored to different skill levels.
- Serve as a resource for the community
- Provide feedback and insight to help enhance event programming.

Commitment:
Participants should be prepared to dedicate approximately 1–3 hours leading up to and during the event. Attendance at a pre-event planning session and active engagement during your designated activities on the event day is required.

By joining as a participant, you’ll have the opportunity to inspire the next generation of leaders, collaborate with like-minded professionals, and help expand access to meaningful education.

If you’re passionate about making a difference and sharing your expertise, we invite you to complete this form to be part of our transformative programming!
Personal Information

How we contact you
Name*
Title/Role*
Organization*
How many members from your organization do you plan on attending? (estimate if unknown)
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you partnered with iCU Community before?*

YesNo
Which program(s) are you interested in?*

American Red Cross Blood DrivesJuneteenth in the BurbsH.O.M.E. BaseHealth EmPOWERment SummitAny iCU Program
How do you see yourself participating in the program(s) you selected?
Preferred t-shirt size? (Unisex fit)
Marketing Info

Please provide any information/images that represent you/your organization/both and can be used for marketing purposes.
Disclaimer
By submitting this form, you acknowledge and agree that any information, documents, or images provided (including your CV, bio, and headshot) may be used by iCU Community Organization, NFP for promotional purposes. This includes, but is not limited to, sharing your information on our website, social media outlets, and other marketing materials. By submitting this form, you grant iCU Community Organization permission to use the information you have provided in a manner that aligns with our mission and goals.
Brief Bio of Self or Organization
(description of you or your organization and how it should be marketed)
Upload Professional Headshot*

Cancelof
Upload Business/Org Logo

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Follow iCU Community and share our social media pages. Expect us to follow back!
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Program Participant Form

Personal Information

Marketing Info