Impact Austin Impactship Application

Thank you for your interest in Impact Austin! We are delighted that you have chosen to join us in making a more significant impact through our collective giving efforts.

Impact Austin is a women's collective giving organization based in Austin, Texas. We are dedicated to funding Central Texas nonprofits that provide essential services in Bastrop, Hays, Travis, and Williamson counties. Our organization is built on the belief that diversity of background and perspectives is crucial to understanding and addressing the complex issues facing Central Texas.

At Impact Austin, we are committed to ensuring that financial constraints do not prevent women from participating in our giving circle. We invite you to complete this application to apply for an Impactship scholarship that covers a portion of the $1,250 Annual Membership Contribution for the upcoming year.

Our goal is to promote a membership that truly represents the rich tapestry of our community. We understand that the cost of the full $1,250 annual membership contribution can be a barrier to participation and may limit our potential to be a genuinely inclusive organization.

The Impact Austin Impactship Program

The Impactship program is designed to break down financial barriers to membership and enhance the diversity of our Impact Austin community. Our primary focus is to increase membership diversity through a selection and matching process firmly rooted in the trust-based model.

Upon completing this application, you will be contacted within two weeks to inform you of the status of your request. We look forward to welcoming you as a valued member of Impact Austin.

Thank you for your commitment to making an impact in our community and for taking the first step towards becoming an Impact Austin member through the Impactship program. Together, we can make a difference that reverberates throughout Central Texas.

Applicant Information

First Name

Last Name

Email Type

Phone

Phone Type

Address Information

Address Line 1

Address Line 2

City

State

Postal Code

County

Additional Information

How did you learn about Impact Austin? About the Impactship?

What excites you about being an Impact Austin member?

What are you passionate about in our community?

What are you hoping to learn in Impact Austin?

Impact Austin membership dues are $1,250 per year or $108/month for 12 installments. How much are you able to contribute to the membership fee? Enter payment amount and frequency below. Note that you can request up to the full membership fee amount ($1,250).

I can contribute this amount monthly.

I can contribute this amount as a one-time annual gift.

Diversity Statement:

Impact Austin's Diversity, Equity and Inclusion (DEI) efforts are designed to help us better represent the communities in which we operate. Any information you provide will be handled confidentially, and used in aggregate to track our progress toward our DEI goals. Please check the appropriate racial/ ethnic category:

Select Racial / Ethnic Identity

Birth Year

Please enter a 4 digit numerical year (e.g. 1968)

Availability Statement:

Funds are limited, and this application may be considered now or in the future when funds are available.