HOAP Ambassador
Interest Form
Name
First Name
Last Name
HOAP Ambassador Mom Expectations
The ideal mom is age 25-35 with lived experience as a teen/young mom who overcame various obstacles and achieved success. HOAP Ambassador Moms serve as advocates, assist with program marketing & promotion, recruit new moms, assess program demands, provide feedback, advice, and assistance with program tasks and events.
DOB
-
Month
-
Day
Year
Date
How many children do you have?
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
What form of communication do you prefer?
Email
Text
Phone Call
Please select your race & ethnicity
Black or African American
Caucasian
Latinx
Multiracial
Native American
Asian
Pacific Islander
Hispanic
Non Hispanic
Other
Do you have your own transportation?
Please Select
Yes
No
Please share why you’re interested in becoming a HOAP Ambassador Mom and what you can offer to the team.
Skills, experience, and interest (Please check all that apply).
Event planning
Coordinating
Administration
Social Media Management
Public Speaking
Facilitating
Creator/Graphic Design
Writing (Content Development)
Researching
Data Entry
Fundraising
Supervising
Please feel free to share anything else that you’d like us to know regarding your interest to become a HOAP Ambassador Mom.
Signature
Date
/
Month
/
Day
Year
Date
Submit Form
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