Flipcause - Essential Technology for Small Nonprofits

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Golden Experiences Ambassador Form

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Contact Info

First Name*

Last Name*

Email*

Phone *

Ext

Work
Mobile
Home

Additional Information for Your Ambassador(s)

1 X Ambassador

We are delighted that you are joining this esteemed group of compassionate individuals and organizations who facilitate the mission of Golden Experiences (GEx). Please complete and submit the form below and we will reach out to you. Thank you!

Areas Of Interest - Indicate as applicable.
First Choice

*

Health Education

Women Empowerment

Mentorship Programs

Senior Care

Fundraising/Grant writing

Food Pantry

Scholarships

Crisis Ministration

Marketing/Social media Outreach

Strategic Partnerships

Second Choice*

Health Education

Women Empowerment

Mentorship Programs

Senior Care

Fundraising/Grant writing

Food Pantry

Scholarships

Crisis Ministration

Marketing/Social media Outreach

Strategic Partnerships

Third Choice*

Health Education

Women Empowerment

Mentorship Programs

Senior Care

Fundraising/Grant writing

Food Pantry

Scholarships

Crisis Ministration

Marketing/Social media Outreach

Strategic Partnerships

Time availability - check all that apply.
Per Week*

1 hour

2-3 hours

>3hours

Specific event

Per Month*

1 hour

2-3 hours

>3hours

Specific event

Per Quarter*

1 hour

2-3 hours

>3hours

Specific event

As available*

1 hour

2-3 hours

>3hours

Specific event

By clicking I agree to the terms.

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