Illuminator Signup

Thank you for your interest in The Illuminators! We hope experts like yourself will enjoy contributing and adding valuable insight to interesting business challenges. In order to match your skill set with our client opportunities we need to understand a little about you via the short sign up form below. Should take about 3-5 minutes to complete. Once completed, you will be entered in our panel and you will be contacted for future opportunities of interest. At that time you have the option to participate or decline the project. You will be compensated appropriately for your time on a per project basis.

First Name: *

Last Name: *

Email: *

Phone: *

Ex: 513-555-5555

Employer: *

Current Title: *

Ex: Consumer Insight Manager, Marketing Director

If other, please specify

Zip Code of Business: *

Ex: 45111

Gender: *

Ethnicity: *

Age: *

Education Level: *

Number of children in your household: *

Age of each child in your household: *

Please separate each year with a comma

If other, please specify

Which of the following statement(s) do you relate to?: *

I am an avid smart phone user

I am an avid tablet user (iPad, Kindle, Nook, etc)

I consider myself an early adopter of new trends

I consider myself an early adopter of new technology

I consider myself a connector or strong networker among friends and/or colleagues

I consider myself a "foodie" – I watch food shows and/or explore hot new restaurants when I can

I am a road warrior – I travel for work at least once a quarter

I plan the family road trip – whether it's a ski weekend, a beach week or a Disney vacation, I am the planner

I am an explorer, I desire to stamp my passport as often as possible and friends look to me for travel tips

The following questions are optional but helpful:

What is one piece of advice you would give now to your 18-year old self?:

How do you think technology will be different in the year 2050?:

If you could travel anywhere in the world, where would it be and why?:

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