BLAC Alliance Membership

Step 1 of 5

20%

First Name*

Last Name*

Email Address*

Phone Number*

Area Code*

What is your racial or ethnic background?*

Black or African American

African or African Diaspora

Hispanic or Latino

Asian

Native American

Alaska Native

White

Prefer not to say

Other (Please specify):

racial ethnic other

Do you live or work within the Black community?*

Yes

What is your current occupation or job title?*

Employer/Business Name:*

Industry:*

Are you an entrepreneur? (Yes/No)*

List specialized skills (ie marketing/branding, AI/tech, martial arts, etc)*

What are your primary reasons for joining BLAC? (Select all that apply)*

Career advancement & job placement

Networking & mentorship

Business development & funding support

Leadership training & workshops

Financial planning & wealth-building

Impact our community

BLAC Alliance Membership*

Price:

BLAC Membership is $49/year and includes professional coaching, exclusive discounts from local business partners, free business consultations with industry experts, and financial planning support from licensed wealth advisors.

BLAC Members Only Shirt Quantity*

Price: $30.00

Quantity

Get Your Exclusive BLAC “Members-Only” Shirt – $30 Wear leadership, empowerment, and excellence with the official BLAC “Members-Only” Shirt. 20% of every sale helps young Black and minority professionals secure jobs in their community. Designed for leaders breaking barriers. Limited supply—get yours today!

Size(s)

Credit Card

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Please share a professional photo: (this will not affect your selection)*

Drop files here or

Max. file size: 100 MB, Max. files: 1.

How did you hear about the BLAC alliance?

Referral

Instagram

Facebook

Website

Community Event

Community Partner

Other (Please specify)

Share your Social Media Handles (i.e @BlacLeadershipAlliance)

BLAC Alliance Membership

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