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
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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
Other
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)
Other
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
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of
Upload activity image #1
*
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Description for image #1 (please include a photo credit)
*
Upload activity images #2
*
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Description for image #2 (please include a photo credit)
*
Upload activity Image #3
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Description for image #3
Upload activity Image #4
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Description for image #4
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