Survey - 2023 Boston Marathon® Application

2023 Boston Marathon® Application

Thank you for your interest in running as a member of Team BILH, Beth Israel Lahey Health’s Boston Marathon team. We are thrilled to be running as a system, and are excited to offer a bib to anyone wishing to run on behalf of one of our member hospitals. We review applications on a rolling basis and will provide more details about fundraising for Team BILH upon review of applications.

All questions with an * are required. All other questions are optional. If you have any questions about this application, please email marathon@bilh.org.

Personal Information

* Required Field

Field Is Required First

Field Is Required Last

Field Is Required Email:

Field Is Required Phone Number:

Yes, I would like to receive periodic updates and communications from Beth Israel Lahey Health.

Field Is Required Date of Birth (Note: All Team BILH runners must be 18 on or before April 17, 2023.)

Field Is Required Preferred Communication Method

Field Is Required Pronouns

Other

Fundraising Information

Field Is Required Are you applying as a charity runner ($8,500 commitment), or a qualified runner ($2,000 commitment)?

Field Is Required Please explain why you would like to run on behalf of Beth Israel Lahey Health and the specific member hospital you selected above. What story will you share to motivate your network to support your fundraising and training efforts?

Field Is Required Top consideration will be given to those applicants who commit to raising more than $8,500. What is your fundraising goal?

Field Is Required Please provide a detailed monthly fundraising plan and explain how you propose to achieve your goal, as we recognize the most successful fundraisers are those with a well thought out plan.

Running Information

Field Is Required Have you ever run the Boston Marathon?

If so, when?

Field Is Required Have you ever run a marathon before?

If so, what race(s) and when?

Field Is Required On average, how many miles do you run per week?

Employment Information

Field Is Required Are you employed?

Employer Name

Job Title

If you work for Beth Israel Lahey Health, which hospital and department do you work for?

Field Is Required Does your employer have a matching gift program or match employee giving?

Are you a student?

If so, where?

Optional Demographic Information

Gender Identity

Other

Do you identify as Hispanic or Latino/a? (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)

Please select the racial category or categories with which you most closely identify Please make up to 5 selections from the choices below.