Community Ambassador Interest Form
Please note: You must live in New London to be considered per the grant requirements.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Location (Example: New London, Groton, etc.)
What interests you about the Community Ambassador Volunteer position?
Why do you feel Alliance for Living is a positive for the community?
Please list any groups you are a part of in the community (Example: Church, Hobby Group, Book Club, etc.)
What would you share with community members about Alliance for Living?
Would you be available to conduct outreach in the community and facilitate connecting folks to Alliance for Living?
Yes
No
Are you available up to 5 hours each week for this role?
Yes
No
Submit
Should be Empty: