We appreciate your interest in our VIP Day. This is an exclusive opportunity for organizations that share our values and are dedicated to driving real, lasting change. Space is limited, and acceptance is selective. Please take a few moments to complete this application so we can ensure a tailored and transformative experience.

Section 1: Contact Information

First Name *

Last Name *

Organization *

State *

Email *

Section 1: Contact Information

Phone *

LinkedIn Profile

Website

Section 2: Organizational Context

1. What type of organization do you represent? *

2. Briefly describe your organization’s mission and primary area of focus.

3. What are the most significant policy or funding challenges your organization is currently facing?

4. Looking ahead, what is the #1 issue you would like to focus on during the VIP Policy Day?

5. Why is addressing this issue important for your organization’s success over the next 12–18 months?

6. What strategies (if any) has your organization already attempted to address this issue?

Section 3: Objectives and Readiness

7. What do you hope to achieve by participating in the VIP Policy Day? (Select All Which May Apply) *

Clear and actionable strategies for my team's implementation

New insights into policy / funding landscape

Tools to engage stakeholders / legislators

Other

You indicated other. Please briefly describe your additional objective(s).

Section 3: Objectives and Readiness

8. How prepared is your organization to implement a strategic plan immediately following VIP Policy day? *

9. Who else from your organization would be involved in the implementation of the strategic plan (titles or roles)? *

Section 4. Investment and Exclusivity

10. Does your organization have budget set aside for policy, advocacy, or strategy development in the next 12 months? *

11. The VIP Policy Day is a high-level, customized strategy and bespoke experience. Which best represents your organization’s current capacity to invest in this type of strategic engagement and related initiatives (strategic planning, government relations, capacity building)? *

12. Our organization partners with mission-driven organizations ready to scale their civic impact. Our VIP Policy Day is an exclusive, intensive experience designed for leaders committed to measurable results. Participation in this VIP experience requires a meaningful investment of time and resources. Are you willing and able to make such an investment, if selected? *

13. VIP Policy Day is an exclusive, high-level program. If selected, how soon could your organization commit to participating and investing in this strategic experience? *

Thank you for submitting your application! VIP Policy Day is a high-level, selective experience, and our team will review your submission carefully. We’ll follow up within 3 business days to discuss next steps and confirm your eligibility.

ImpacTech Systems, LLC