Indianapolis Urban League

Participant Profile Application

The Exchange (IULYP)

Participant Profile

    First Name (required)

    Last Name (required)

    Street Address (required)

    City (required)

    State (required)

    Zip Code (required)

    Phone Number (required)

    Email Address (required)

    Employer

    Title/Job

    Industry

    D.O.B. (mm-dd-yyyy)

    Interests: (Check all that apply)

    YouthFinanceCivil RightsSales/MarketingEvent PlanningCareer DevelopmentEducationCivic EngagementRace RelationsPublic RelationsSocial ServicesGovernmentHealthGrant WritingEconomic EmpowermentMentoringJournalismFund Raising

    Please attach a current resume

    Participant Contribution: $50.00

    Make check payable to:

    Indianapolis Urban League
    777 Indiana Avenue
    Indianapolis, IN 46202