Fill the form Your email Your first name: Your last name: Where do you live? (City, State, ZipCode) Share your LinkedIn profile Link us to something that tells us about you (Personal Website, Company Project, Instagram handle(s), etc.) Workplace(s) // If you are aligned with multiple organizations, list the ones most relevant to Ghaya Impact RIGHT NOW LOOKS LIKE — What do you currently spend your time doing? (Work, volunteering, parenting, life transition, other) WHY YOU WANT THIS — Why does a community focused on social impact appeal to you? WHAT'S STUCK — What are the biggest challenges getting in your way or holding you back from living your biggest impact? WHERE YOU'RE GOING — What vision do you have for your business, passions or personal life in the next 6 months to a year? BRAG A LITTLE — What results or success have you already achieved in your business and work? YOUR TRIBE - Where do you feel the greatest sense of belonging? What shared values, beliefs, interests, and/or activities do you cherish in these groups or places? What are your core values or guiding principles? Please share at least 3 and no more than 5. Where did you learn the values that guide your giving and impact-work today? Who influenced your approach to social good? Which Sustainable Development Goals are you most passionate about? Mark all that apply. No povertyZero hungerHealth & well-beingQuality educationGender equalityClean water & sanitationAffordable & clean energyDecent work & economic growthIndustry, innovation, & infrastructureReducing inequalitiesSustainable cities & communitiesResponsible consumption & productionClimate actionLife below waterLife on landPeace, justice, & strong institutions How enthusiastic are you about being part this leadership community? 12345 What kind of contribution would you be interested in making to Ghaya Impact programs? Monetary contribution - I'm looking for meaningful and effective ways to give financiallyNon-monetary contribution - I'm looking for worthwhile ways to engage with my time and other resources.Both of the aboveNone of the aboveOther In which ways would you be excited to contribute creativity, resources, or expertise to social good? Mark all that apply. Guidance: Mentorship, coaching, advisory roles, and board rolesMarketing & Communications: storytelling, communication, media, and public relationsStrategy: Business development and partnershipsTech: Coding, building software, providing access to tech platformsOrg Dev: Board development, recruiting, org culture, and human resourcesFundraising: Nonprofit philanthropic fundraisingFundraising: for-profit venture fundingFinance: Financial modeling, planning, and advisingCreative Direction: Experience Design, Art, Music, Wellness, etc.Speaking, performing, wellness guide, or other experience partnerHosting events for the Ghaya Impact communityOther
