BLAC Elite 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 Elilte Membership*

Price:

BLAC Elite Membership ($250/year) is your gateway to leadership, influence, and impact. Enjoy VIP access to executive and stakeholder meetings, exclusive business perks, free BLAC gear, wealth-building strategies, and high-level networking.

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! (FREE with BLAC Elite Membership)

Size(s)

Credit Card

Cardholder Name

Card Details

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 Elite Membership

Recent Posts

Recent Comments