Alpha Ambassadors application form

Nomination form - ALPHA Ambassador

* Individuals must have an active ALPHA membership. Voting will be by the Executive Committee.
ALPHA ambassadors are a vital and valued part of the Society. Their role includes:
- Advocacy: Advocate for the interests and needs of ALPHA & its members.
- Community Engagement: Engage with the ART community to raise awareness about the ALPHA's mission and activities.
- Event Participation: Assist in organizing and participating in ALPHA events, such as conferences, workshops, and seminars.
- Membership Recruitment: Help recruit new members via advocacy and relationships with local societies.
- Public Relations: Represent ALPHA on social media, in public forums, and other platforms to increase its visibility.
Name*

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Job title*
Place of work*
Please include a 200 word statement in support of your nomination. Nominations will not be considered without a supporting statement.*
Signature

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Nomination form - ALPHA Ambassador