Pilot Program: Cultural Ambassadors

2024 - 2025 Cultural Ambassadors Application
Click here to learn more about the program.

Ideally, members should meet some of the following qualifications:
- At least 1 year of employment
- Actively involved or have completed FFS Tier 1 & 2 (or Professionalism)
- Leads by example by utilizing Misericordia Outlook email and Campus Connections
Name*

First NameLast Name
Work area*
Job title/position*
Shift *
e.g., AM/PM/ON
Years of Employment at Misericordia*
Misericordia Email*
example@misericordia.com
Why are you interested in becoming a Cultural Ambassador? *
As a future Cultural Ambassador, what is one initiative around connection and team building that you would like to see throughout all of Misericordia?*
Director/Supervisor*
Director/Supervisor Misericordia Email*
example@misericordia.com
Did you complete Fit for Success? If not, please explain:*

Tier 1Tier 2Both Tier 1 & 2Other
I understand that this is a one year commitment:*
Initials
By committing to the Cultural Ambassador program, I understand that I will be responsible for participating in monthly meetings to collaborate with fellow Cultural Ambassadors:*
Initials
My direct supervisor has endorsed my participation in this program and will provide the support I need to participate:*
Initials
All applications are due December 18th.

For questions contact geanac@misericordia.com
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2024 - 2025 Cultural Ambassadors Application