InnSure Acceleration Partner Network Interest Form

Basic Information

First name*

Last name*

Email*

Company name*

City

State/Region

Phone number

Website URL for Company*

If global corporation with multiple sites, please use site most frequently accessed in the USA.

I am interested in participating, but I am not able to make any commitments on behalf of my organization.

Company Logo

By uploading a logo you are consenting that InnSure may represent this logo on the Innovation Prize website or other marketing materials as an acceleration partner.

Engagement Options

Learn about the different engagement options, including associated activities and expected time commitments.

I am interested in engaging as follows (select all that apply):*

Attending Prize-related events

Promoting the Prize among my network

Accepting referrals from Prize applicants for my services

Being a Prize judge

Being a Business Advisor

Being on the Program Committee

Being a Prize Sponsor

Participating generally in the Partner Network

Additional Details

By participating in the InnSure Acceleration Partner Network, your firm can receive strategic benefits if the applicant succeeds, including early access to new markets or an opportunity to sell your services. Please provide the following additional details about your organization in order to best match your organization to the most relevant innovation prize participants.

Select an organization type from the dropdown and fill out the additional information.

My organization is a(n):*

Please select one of the following: Insurance Partner (e.g. Agent, Reinsurance Broker, Risk Capital Provider), Energy Partner (Project Developers/Financiers, Energy VC), or Solution Provider (e.g. Policy Administration, Claims/TPA, Actuarial, Other Professional Services).

Screening Considerations

Describe any factors/requirements InnSure team should consider before referring an applicant or prize winner to your firm (e.g., are there any limitations on types of companies you would work with?)

Our firm would consider partnering to jointly submit an Innovation Prize application.

Additional Questions or Comments

Interested organizations are invited to join InnSure for the Innovation Prize Launch Event in New York City on May 9, 2024. RSVP here.