Become an Ambassador
Genesis Joy House
Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Best time to contact you?
*
Do you have availablility for speaking engagements, occupation/studies?
*
What would you bring to the organization as a Genesis Joy House ambassador?
*
Do you have any professional affiliations?
*
Have you ever been complimented on your public speaking skills?
*
Is your experience with public speaking?
*
Do you have any situation that you have experience which relates you to veterans or homeless veterans? If so, please explain.
*
Submit
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