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