Ambassador Membership Application

For more information on what is involved in being an ambassador click here.


Name
Place of Business/Employment:
Business Address:
Work Title:
Business Phone:
Job Duties:
Business Fax:
Business Email:
Name of Immediate Supervisor/Manager:
Phone of Immediate Supervisor/Manager:
Home Address:
Home Phone:
Home Email:
Name of Nominating Individual (if applicable):
Phone of Nominating Individual (if applicable):
Relationship to Applicant:
Please give a brief statement as to why you want to be an Ambassador.
Volunteer Committee Experience:
Past and Present Community Involvement:
Availability to attend functions such as Ribbon Cuttings during business hours?
Additional comments:


 
Accredited © 2010 Copyright - Sauk Valley Area Chamber of Commerce - 211 Locust Street - Sterling, Illinois 61081
Site hosted by: Webmasters of America
Privacy Policy