Ambassador Application

Ambassador Application

Please complete the form below to apply for a position with Leadership Initiatives
Full Name *

First Name Middle Name Last Name Suffix

Current Address

Email Address *
example@example.com
Phone Number *

Area Code Phone Number
Birth Date *

Month Day Year
Do you have a relationship with Leadership Initiatives?

Yes as an IBIP student Yes as a previous summer program student Both an IBIP student and summer program student None
Thank you so much for filling out the form above. Leadership Initiatives will review your application in 72 hours and set up a 1 on 1 time to interview you for an ambassador position for our 2018 programs!
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