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Join over 50 other committed members of the community in being a member of 100 Black Men of Louisville!

After submitting the application form below, you will have the option to pay the initiation fee on-line or to send a check. Applications may take as long as 30 days to process.


  • Personal Information

  • Education Affiliations

  • Volunteer, Youth, Nonprofit, Mentoring Experience

  • Professional / Community Affiliations

  • Committees

  • Verification

    I understand and agree that by submitting this form, I will have the opportunity submit the $75.00 initiation fee which is non-refundable in the event that I am not granted membership in the 100 Black Men of Louisville, Inc. In the event I am approved for membership, I acknowledge that I must pay the annual membership fee and abide by the Bylaws and Policies and Procedures of the organization. I also acknowledge that the Bylaws require members to purchase/sell tickets to the Annual Derby Gala.