I AM Healed Period

I AM Healed Period

Ambassador Interest Form
It is important that we know what your interests are to see if you are a good fit for our Ambassador Program. EVERYONE IS WELCOMED without any previous experience. You will be educated on all products and packages.

Next Informational Session is Sunday May 17th 1pm-3pm held virtually. You will receive the link 24 hours prior to the session
Name*
Email*
Address*
Phone number*
What is your current occupation?*
Are you part of any other ambassador or affiliate programs?

YesNo
Which areas resonate the most with you? (select all that apply)

EntrepreneurshipArmed Forces & Veteran AffairsCommunications, Press & PublicityCommunity CoordinationRetreatsCriminal JusticeEconomic DevelopmentEarly Childhood EducationEnvironmental & Climate JusticeHealth & WellnessHousingMembershipPolitical ActionPrison ReformChristian BasedYouth WorksEmotional IntelligenceMoneyWomen In BusinessNone
Interest & Availability
Which day(s) of the week is the most optimal day to meet?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What meeting times are best for you?

MorningAfternoonEvenings
What frequency of meeting is ideal for you?

MonthlyBi-weeklyWeekly
Anything additional you'd like to add...
Short Answer
What influenced you to want to be a part of this ambassador program?*
Yes or No
Do you consider yourself a team player?*

YesNo
Do you consider yourself to be open minded?*

YesNo
Do you work well under pressure?*

YesNo
Do you believe in your ability to Be Your Own Healer?*

YesNo
Do you consider yourself to be influential and persuasive?*

YesNo
Will you be in attendance at the 1st Informational Session?*

YesNo
Tell us something about yourself that is interesting to know
Should be Empty:

I AM Healed Period

Interest & Availability

Short Answer

Yes or No