Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.About Our MembershipsPlease review the membership tiers below and select the option that best aligns with your level of interest and involvement. You will also be asked to select a committee. This is not permanent, members are encouraged to grow, explore, and transition into different roles within the organization over time.👉 Select Membership Tier *General Membership – Ideal for individuals looking to get involved, network, and participate in community service initiatives.Leadership Membership – Designed for members who want to take an active role in committees and organizational initiatives.Executive Membership – For experienced professionals seeking leadership roles and strategic involvement.Full Name *FirstLastEmail *Phone Number *Mailing Address Name Our Committees About Our CommitteesOur committees are the foundation of our impact and allow members to actively contribute based on their interests and strengths. You may select a committee below. This selection is not permanent, members are encouraged to grow, explore, and transition into different areas as they become more involved in the organization.Committee Options (choose one) *Community Engagement & Service – Participate in outreach efforts, events, and initiatives that directly support and uplift our communities.Mentorship & Youth Development – Guide and support the next generation through mentorship, education, and leadership development programs.Health & Wellness Initiatives – Promote physical, mental, and community well-being through programs, awareness campaigns, and partnerships.Workforce & Economic Development – Help create opportunities for career advancement, entrepreneurship, and financial empowerment within our community.👉 Membership Contribution *--- Select Choice ---General Membership $50Leadership Membership $100Executive Membership $250Membership Onboarding Agreement *I acknowledge and agree to the following: • Membership contributions are non-refundable. Please ensure you are certain about your decision before submitting this application. • Membership is subject to review and approval by the organization. • Orientation details and next steps will be communicated via email upon acceptance. • I understand that active participation and engagement are expected as part of membership. • I agree to abide by the mission, values, and guidelines of 100 Hispanic Men.Payment InstructionsYour membership contribution should match the tier you selected above. Please enter payment amount at checkout to match application: General Membership – $50 Leadership Membership – $100 Executive Membership – $250 Please enter the appropriate amount during transaction for proper membership placement. Your application will be matched to payment and you will receive a receipt via the email provided above or the email you enter in the payment source you choose. If you do not receive a receipt within an hour of submitting payment, please send an email to [email protected] and payment will be tracked and confirmed.Submit