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