Fay serves as the President of Forward Cities, where she oversees programmatic strategy and serves as the executive lead of the ESHIP Communities initiative. In addition, Fay is a dedicated advocate for the emerging profession of ecosystem building, serving as Vice Chair of the Startup Champions Network and as a founding member of Ecosystems Unite. Beyond her formal roles, she is a sought after presenter, trainer, and thought leader on the topic of equitable entrepreneurial ecosystem building. Never one to be content with status quo, Fay has also recently begun addressing a new need in local communities: ecosystem healing–helping pivot ecosystems and institutions in this time of the dual COVID-19 and systemic racial injustice pandemics.