Brand Ambassador Application Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Name
Graduation Year
Are you a member of Y-12 Federal Credit Union?
Yes
No
Social Media
Username
Number of Followers
Instagram
Facebook
TikTok
Youtube
Job History
Please put N/A if not applicable
Which activities are you comfortable with doing?
Social Media Content Creation
School Events
Participating in Fusion Branded days
Volunteer Activities
How did you hear about the Brand Ambassador program?
Social Media
Teacher Recommendation
School Announcements
Friends/Family
Please tell us more about you
Why are you interested in becoming a Fusion Brand Ambassador?
Please list any school activities, clubs, sports, or volunteer organizations you are involved with.
T-Shirt Size
Teacher Letter of Recommendation
Browse Files
Not Required
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of
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