IFS Registration Form 


Combo Small NGO Registration Fee $400 

We are excited to have you join the 2023 Impact Fellowships Summit! Please complete the below information and proceed to payment to finalize your registration.

Name*
How did you hear about this event?*
What are the general age ranges of the participants in the fellowship and/or leadership programs that you lead/manage? (select all that apply)*
The fellowship or leadership development program I support focuses on leaders in the following stages (select all that apply) *
If you work with host organizations or institutional partners as part of your fellowship or leadership programming, what type of partners do you work with? (select all that apply)*
How large is your organization?*
What job level do you identify with in your current organization?*
How many leaders did the fellowship or leadership development program you support work with last year?*
What is the geographic orientation of your program?*
Have you attended the Impact Fellowships Summit (IFS) in previous years? (select all that apply)*
What do you hope to gain from participating in the 2023 Impact Fellowships Summit (select all that apply)*
Which of the 2023 IFS Technical Tracks are you interested in engaging in? (select all that apply)*
All 2023 IFS sessions will be aligned with a Learning Pathway to better help you meet your learning and participation goals. Please select the Learning Pathway most aligned with your participation goals for the Summit.*
While optional, to participate fully in the social network analysis and directory, submitting a photo is preferred. If you would like your photo included in the network map and directory, please upload a profile picture.
No File Chosen
File uploads may not work on some mobile devices.
We will use video and screen shots to capture images from the summit to use for promotional purposes, as well as photographs from the Reception. Please indicate below if you wish to opt out of your image being used.*
Because you opted out of image use, we need a profile photo to ensure we do not use photos with your image. Please upload a photo so we can identify you.*
No File Chosen
File uploads may not work on some mobile devices.

Demographic Information

The Summit is committed to promoting diversity and inclusivity at all levels. We respectfully request the following demographic information. No personal demographic data will be made public. This information is optional, if you prefer to not provide a response please select “Prefer not to say.”

Birth year*
Gender*
Race/Ethnicity*
We will add you to the IFS mailing list to receive relevant updates regarding the Summit. Would you like to opt out of the mailing list?*

Please Submit and Proceed to Payment to be directed to our PayPal checkout. If you do not have a PayPal account, you may select "Pay with Debit or Credit Card". If you have a PayPal account, the checkout will allow you to log in and pay with your saved information. 


Please note that there is a $10 processing fee added to the PayPal checkout payment. This fee covers PayPal's processing fee and is not collected by IREX.


If you have any questions or if the registration fee is cost prohibitive for your organization, please reach out to the IFS team at IFS@irex.org

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