Ambassador Application

Name

First Middle Last

Date

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Company

Phone

Supervisor

Address

Street Address

Significant Achievements

Question #1

Number of years you have been a Chamber Member

Question #2

What objectives do you hope to achieve as an ambassador? Please describe both personal and business goals for joining this organization.

Question #3

List up to three organizations in which you have been or are currently active and any leadership/positions held:

Question #4

Describe how you feel the Chamber benefits the Cullman area.

Question #5

What Cullman Area Chamber of Commerce events and activities have you participated in? (please list by year and your type of participation)