Impact100 of Northwest Florida, Inc.

NextGen Application - Impact100 of Northwest Florida

The Impat100 NWF NextGen Program seeks to give the next generation of women, particularly those who may not have the financial resources, an opportunity to become Impact100 NWF members and engage with the community while learning the lessons of philanthropy. The program aims to empower these women to be ambassadors for a generation that is dedicated to giving and serving in Okaloosa and Walton counties.

First Name *

Last Name *

Email *

NextGen Program Application

Thank you for taking a step to become more involved with our local community through the philanthropic work of Impact100 NWF. We are delighted you are interested in joining Impact100 NWF to make our community a better place. NextGen is a program for 18 to 39 year-old women to benefit from scholarship donations to incrementally defray the cost. For more information on the NextGen program click here.

Street Address *

City *

State *

Zip *

Mobile Phone *

Birth Date *

Tell us how you are connected to our counties. Do you live or work in Okaloosa or Walton County? *

What inspired you to become an Impact100 NWF NextGen member? *

Tell us about any prior involvement with civic or community service organizations.

By submitting this application, I am indicating that I meet the eligibility requirements for NextGen membership. I am making a one-year commitment to Impact100 NWF, both with my financial contribution and volunteer time. My portion of the membership donation will be $500 due by April 30th. Also, I agree to serve on a standing committee or grant review committee (Focus Area Committee) as part of my NextGen membership commitment.

APPLICANT'S SIGNATURE *

date *

Thank you for completing this application. A confirmation email will be sent to you acknowledging receipt, and a board member will contact you shortly. Applications must be received by April 30th.