2020 APA Ambassador Program
Complete this form to volunteer as an APA Ambassador for the 2020 Ambassador year, which runs January through December 2020. You may volunteer as an individual ambassador, or as part of an ambassador team as the team lead or a team member.
I am a current APA member.
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Yes
Your Name
First Name
Last Name
Are you volunteering as an individual ambassador or as part of an ambassador team?
*
As an individual ambassador
As the team leader of an ambassador team
As a member of an ambassador team
Name of Team Leader
First Name
Last Name
Your APA ID
*
Enter your six-digit APA ID number
Your Email
example@example.com
Are you an AICP Member or an AICP Candidate?
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AICP Member
AICP Candidate
No, I am an APA member but do not hold the AICP certification or AICP Candidate designation
Job Title (if you are a student please enter 'student')
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Employer/School
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How many years of professional experience do you have in planning?
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I am willing to make a commitment to conduct at least two activities during the 2020 ambassador year either as an individual ambassador or as part of a team
*
Yes
I understand that becoming an APA Ambassador is a voluntary leadership position and compensation will not be provided.
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Yes
Please tell us a bit about why you want to become an APA Ambassador, what your expectations for the program are, and the types of activities you'd like to carry out during the year.
*
Please complete this section for your Race. APA uses this data to better understand the impact of the ambassador program. The information we collect correlates with U.S. Census Bureau reports.
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White
Black or African American
American Indian or Alaska Native
Asian Indian
Japanese
Chinese
Korean
Vietnamese
Native Hawaiian
Filipino
Guamanian or Chamorro
Samoan
Other Asian or Pacific Islander
Some other race
I prefer not to answer
Please complete this section for Hispanic Origin. APA uses this data to better understand the impact of the ambassador program. The information we collect correlates with U.S. Census Bureau reports.
*
Not Spanish, Hispanic, Latino
Mexican, Mexican American, Chicano
Puerto Rican
Cuban
Other Spanish, Hispanic, Latino
I prefer not to answer
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