Membership Application

Member Agreement

All membership applicants are required to agree to the policies outlined in the following documents. Please read over them carefully, then proceed with your application.

Member Agreement

Member Code of Conduct

Application

First Name*
Last Name*
Email*
Phone*
Street Address*
City*
State*
Zip*
Organization/Affiliation/Company/Group
Website
LinkedIn
Twitter
Facebook
Which Membership package are you interested in?*
- Full Time ($200 - Unlimited hours)
- Part Time ($80 - 40 hours/mo)
- Connect ($35 - Events only)
- Permanent Desk ($225 - unlimited hours)
- Team Membership (Let's talk!)
Photo for your member profile:
Accepted file types: jpg, png.
Why are you interested in Impact Hub?*
What are you working on right now?*
Please write a 3-5 sentence bio for your member profile.*
How did you hear about Impact Hub Salt Lake?*
Have you read and do you agree to the Member Agreement located at the top of this page?*
- Yes, I have read and agree to the Member Agreement.

Member Agreement

Application

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Impact Hub Salt Lake