Ambassador Application Form Full Name Title First Name * Last Name * Suffix Company Company Address Address Line 1 Address Line 2 City State Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware 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 DC Zip/Postal Code Email Number of years company has been a Morrisville Chamber Member Number of years with your company Describe your role within your company Ambassadors meet once per month for lunch - Can you commit to this 90% of the time? Ambassadors are expected to attend at least 1 event per month - Is this doable for you? Will your company provide you the needed support for this role? How have you demonstrated leadership in the following areas? Volunteerism Within your professional role How has your company been involved within the Morrisville Chamber in the past year Why are you interested in becoming a Morrisville Chamber ambassador?
