Rooted in Georgia Ambassador Program Application
GAR is looking for 13 individuals from across Georgia to amplify our consumer advertising campaign! If you are a Georgia REALTOR® who devotes your time and energy to community service, we invite you to apply. Please fill out this form by Friday, April 3. You may also share any news items or links that support the information in this application. Those who are selected will be notified in late April.
Are you the nominee?
Yes
No, I am nominating someone else
Nominator name (skip if you are nominating yourself)
First Name
Last Name
Nominator email (skip if nominating yourself)
example@example.com
If you are nominating someone else, has the nominee given permission and/or have knowledge of the nomination?
Yes
No
Full Name of Nominee
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Look up your
GAR Region here
Please indicate your GAR Region
*
Please Select
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Region 8
Region 9
Region 10
Region 11
Region 12
Region 13
I don't know my Region
Primary Local Board
*
Why do you want to be a Rooted in Georgia Ambassador? (300 words or less)
*
Please list your local community service efforts – service projects, city council, civic clubs, etc.
List below the number of hours you volunteer each month, quarter, or year.
List below the number of dollars raised for community service efforts, if applicable.
Please upload a high resolution photo
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