Ambassador Activity Submission Form

Ambassador Activity Submission Form

APA Ambassadors: please complete ONE form for each activity. Please note, this information will be used to create an APA Blog.
Basic Information

Please use the section below to tell us more about yourself.
First Name *
Last Name *
APA ID *
Title *
Planner I, Principal Planner
Chapter *
Place of employment
City of Ambassadorville, Full time Student
Primary Contact - Email *
example@example.com
Primary Contact - Phone Number *

Area Code Phone Number
Location of Activity *

Street Address

Street Address Line 2

City State
Activity Information

Tell us more about your activity...
Name of Activity #1 *
Date of Activity #1 *

Month Day Year
Date
Please estimate the total amount of volunteering hours spent this activity from initiation (developing your process) to end (submitting activity report). *
Number of attendees at activity #1 *
Did you receive help from your local APA Chapter? (Not sure which chapter you belong to? Please visit: https://planning.org/chapters/) *

Yes No
Which APA Ambassador goal do you think your activities highlighted and or focused on? *

Increasing awareness and understanding of the power and value that the planning profession brings to communities. Reaching audiences of diverse racial, ethnic, cultural, and economic backgrounds to learn more about planning
In which category did your attendees fall into? *

Elementary School grades K-5 Middle School or Junior High School grades 6-8 High School grades 9-12 University or College Community members (non students)
Tell is more about your activity? (What were some of your goals? Structure and flow? What did you want participates to come away with? Any challenges?) *
Observations or lessons learned from the activities? (Do you have any "tips & tricks" for future ambassadors?) *
Do you have any images to share?

Please provide a brief description of each shared photo. Please see the example below: Kim Glas-Castro, AICP, helps students understand and use an aerial map of their community (many of the school children live within walking distance and were excited to find their house on the map). Photo courtesy Laura Buzzetta, Village of Palm Springs, PZ&B Department.
Upload YOUR headshot *

Browse Files
Name these files: Supplemental - [Title] Cancel of
Upload activity image #1 *

Browse Files
Name these files: Supplemental - [Title] Cancel of
Description for image #1 (please include a photo credit) *
Upload activity images #2 *

Browse Files
Name these files: Supplemental - [Title] Cancel of
Description for image #2 (please include a photo credit) *
Upload activity Image #3

Browse Files
Name these files: Supplemental - [Title] Cancel of
Description for image #3
Upload activity Image #4

Browse Files
Name these files: Supplemental - [Title] Cancel of
Description for image #4
Should be Empty:

Ambassador Activity Submission Form

Basic Information

Activity Information

Do you have any images to share?