BRI Application

Thank you for your interest in the Blue Ridge Institute. We are always looking for committed leaders to join our historic organization. We're excited to learn more about you. Please complete the following application in its entirety and submit it to be considered for BRI membership.

"*" indicates required fields

Basic Information

Name*
Are you an Executive Leader in a community service organization?*
BRI defines executive leaders as the CEO/Executive Director (or equivalent position) or a senior leadership position that reports to the CEO/Executive Director of an organization/

Contact Information

Home Address*
Work Address*

Getting to Know You Better

Directions: Please answer the following questions. Please attempt to limit your responses to 250 words or less per essay.

Required Documentation

Directions: Please answer the following questions. Please attempt to limit your responses to 250 words or less per essay.
Please attach a photo for your profile in a .JPEG or .PNG format. Thank You!
Accepted file types: jpg, png, Max. file size: 2 MB.
Please attach a current resume or curriculum vitae.
Max. file size: 2 MB.

BRI Membership Profile

Directions: Please answer the following questions. Please attempt to limit your responses to 250 words or less per essay.