Don't miss out on this impactful journey.

Here's your chance to become a member of Impact Teens Goldsboro. Simply fill out the information below and we will get back with you as soon as we can. Any questions? Feel free to send us an email at or simply call us at (910)489-8138. 

Make a difference in our city by joining one of the best youth-led organizations in Wayne County.

Impact Teens Goldsboro works hard to provide several events, programs and community service projects for teens to be involved in. With service, leadership, and innovation under our belt we would love to have you join our organization.

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Impact Teens Membership Application

To be a member of Impact Teens you must be a teen between the ages 10 and 23 that lives or attends school in Wayne County or Guilford County.  All members are expected to be actively involved in all organizational activities, and to serve a positive leader for teens in our city.

Name *
Birth Date *
Birth Date
Address *
Phone Number *
Phone Number
Parent or Emergency Contact Name *
Parent or Emergency Contact Name
Parent or Emergency Contact Phone Number *
Parent or Emergency Contact Phone Number
How do you hear about Impact Teens? *
By submitting this application, you acknowledge that you have permission from your parent or legal guardian to join Impact Teens. *
Members of Impact Teens are expected to be role-models of our community. By completing this application, you agree to attend all meetings and events, and to uphold the standards, conduct, and responsibilities with the Impact Teens organization. *
Helping my community has always been a big thing for me. I’ve always wanted to do something where I could help other teenagers and young adults and hopefully impact their lives differently. I’ve never really realized that there were many other people in this community thinking the same thoughts and for us to all be able to come together and try to help better our community, it’s just amazing! I feel that if we show people that they’re people who really do care and are here to help, we could impact many lives. ITG is an amazing group and I love being apart of the team!
— Aaliyah Williams
I joined ITG to make a difference in my community and the city that I love, Goldsboro. I joined ITG to bring out a brighter and greater light in young people’s lives which is to be all that they can be even in situations when others around say there’s no hope, they will be able to stand in the midst of adversity and say, “I Got A Purpose in Life and Nothing is Gonna Stop Me from Achieving It.
— Ty Hamer