Debriefing the Front Lines Ambassador Program
Thank you for your interest in joining our founding Ambassador Team. We're so glad you are here! Please complete the application below to help us get to know you. Applications deadline: Sept 18, 2026.
To note:
All responses are confidential and will remain protected among the DTFL review team
Name
First Name
Last Name
E-mail
example@example.com
City and State where you currently live
What is your state + RN license number (all ambassadors must have an active RN license in good standing)
What is your nursing specialty (ex: ICU, outpatient, educator, leadership, entrepreneur)
How many years have you been a nurse?
What is one personal strength you are most proud of?
How did you first learn about Debriefing the Front Lines?
Please Select
Social Media
Current or previous client
Have attended a DTFL workshop or event
I know Tara, Kacie, Michelle, Janaye or Nik personally
Other
Describe yourself and share more about what debriefing support is important to you?
How would you describe DTFL to your colleagues?
What draws you to our mission?
What aspect interests you most about the Ambassador Program?
Please Select
Raising awareness about mental health resources
The opportunity to lead a Care Response delivery in my community
Participating in the annual GivingTuesday campaign and having the opportunity to provide my peers with debriefing scholarships
All of the above
Are you familiar with the GivingTuesday movement?
Please Select
Yes
No
How do you feel about the possibility of fundraising during GivingTuesday campaign? *Our annual campaign fully funds our Debriefing Scholarship Program for nurses in need.
Please Select
I've fundraised before and I'm in!
I've never fundraised but I'm willing to try.
I'm not sure yet.
I'm not interested in fundraising.
Is there anything else you want to share about yourself?
Agreement
This is an informal agreement to ensure you are clear about our asks.
I understand this is a volunteer role and carries no financial commitment from me.
I understand
I agree to share Debriefing the Front Lines content and represent the mission and understand this requires a time commitment of one hour a month.
I agree + understand
I am able to attend an initial Ambassador orientation and Trauma-informed Communication Training. Once ambassadors are confirmed, we will coordinate a time that works best for the team
Yes
I am able to attend Ambassador orientation, + 2 meetings per year.
Yes
I understand that participation in the GivingTuesday campaign is deeply appreciated but not required (unless you are interested in a Lead Ambassador Role in the future)
I understand
If selected and upon review, I am able to sign an Ambassador agreement covering brand usage and expectations.
Yes, I am able to sign the agreement upon review.
Care Response Deliveries
are a combination of purchased and donated self-care products, meals + snacks, our favorite beverages (like Bubblr!), mini bouquets (for those units who are permitted to receive live flowers) and mental health resources.
Submit Your Ambassador Application
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