MCCSC Ambassador Program Application

MCCSC Strong Schools, Strong Community Ambassador Program Application
Please complete this form to apply for the Ambassador program. If you would like to nominate someone, please complete the nomination form.
Name

First NameLast Name
Email
Phone
Address (Eligibility limited to addresses within MCCSC corporation boundaries)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please indicate your affiliation

Other
Please indicate the cohort you are interested in and available for:
Can you commit to attending all 4 sessions?
I confirm I am 18 or older.
Affiliated Employer / Organization & Role / Title (Optional)
Why are you interested in becoming an MCCSC Strong Schools, Strong Community Ambassador? (Max 150 words)

0/150
What do you currently already know about MCCSC schools, and what do you hope to learn more about in this program? (Max 150 words)

0/150
Please list any local involvement on community boards, committees, social, or professional organizations. (Max 150 words)

0/150
Did someone nominate you to apply for this program?
Their Name

First NameLast Name
Their Email (So we can ask them to complete the Nomination form).
example@example.com
Affiliated schools (Optional — If not mentioned above)
Are you a member of the media? (Ambassador meetings are not open to the general public. The ambassador group is not a public, decision-making body.)
Media outlet you are associated with:
Because the ambassador program is an immersive experience and some sessions may take place inside our schools, we require ambassadors to complete a background check prior to the first meeting date. We will contact ambassadors for the details. Please confirm your willingness to adhere to this requirement:
Should be Empty:

MCCSC Strong Schools, Strong Community Ambassador Program Application