2024 "Honor a Leader in Your Life" Recognition Submission for ICAN Donation

Thank you for your donation to ICAN to support our leadership development mission by honoring a leader who has made an impact in your life!

Your honoree will be notified by ICAN via e-mail of their recognition by you, with a notice that their name and organization will be featured along with all other recognized leaders at the 2024 ICAN Women's Leadership Conference, along with year-long recognition of the 2024 list on our ICAN website: icanleaders.org/donate/honor-a-leader/

Submissions with donation for recognition of the 2024 honorees at the May 15 conference are being collected through April 19.

After submission of this form, you will be directed to our secure PayPal hosted donation portal to place the donation of $30 or more with a credit/debit card or PayPal account.

If you wish to honor multiple leaders, please complete this form for each individually - but you are welcome to make your monetary donation of $30 each as one collective monetary transaction in the portal.

Contact ican@icanleaders.org with any questions.

Your Name

Your Company/Organization

Your E-Mail:

The leader I would like to honor with my donation is:

Honoree Name

Honoree E-Mail: (E-mail required for your honoree to be notified of this recognition)

Honoree Company/Organization + Title

Would you like to share any comments as to why you have chosen to honor and recognize this individual? (Optional, would be shared with your honoree if so)

Special Designation Identification:

My honoree is being recognized posthumously

If honoring posthumously, would you like us to notify a certain individual of this recognition? (i.e. a family member or former colleague) If so, input a contact name, relation and e-mail address here and we will issue them a special and customized notification message letting them know their relative/friend/colleage has been recognized.

Mark below if you prefer to remain anonymous to your honoree:

Please do not share my name

Contact Information