Ambassador Application Form

Ambassador Team Application

* Required Information
Individual Name
Title
Organization
Length of Time with Current Organization
Address Line 1
Address Line 2
City
State
Zip
Area Code/ Phone
Fax
Email*
Company Web site
What is the best time of day to contact you?
Preferred form of communication	Telephone Fax E-mail Mail

Professional History
In what industry are you currently employed?
What are the main industry/industries your company serves?
With which industry/industries would you like to become more involved?
What other industry/industries do you have previous experience/knowledge of?

Why do want to volunteer to be an Ambassador? What will you to offer the Ambassador Team?

Personal Information (optional)
In what community do you reside?
Other hobbies/interests?
List any community/volunteer activities:

	The Chamber of Commerce of St. Joseph County 401 E. Colfax Ave., Suite 310 South Bend, IN 46617 574.234.0051 FAX 574.289.0358 info@sjchamber.org
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