Community Ambassador Application Form
If you are a student, please fill out our student ambassador application found at: http://adaywithouthate.org/ambassadors/#student
Name:
First Name
Last Name
Email:
example@example.com
Cell Phone:
Please enter a valid phone number.
Format: (000) 000-0000.
City and state (include country if outside of US) where you are located:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tshirt Size
Please Select
XS
S
M
L
XL
2XL
If your social media accounts are public, please include them:
Your accounts do NOT need to be public, however if they are, we want to ensure you adhere to our online code of conduct
If selected to be a Community Ambassador, I will promote and do my best to help organize a Day Without Hate event online and in my community:
YES!
No
Maybe...
How I plan to promote Day Without Hate as a Community Ambassador:
Apply
Should be Empty: