Ambassador Application

Ambassador Application

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

First NameMiddle NameLast NameSuffix
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Birth Date*

MonthDayYear
Do you have a relationship with Leadership Initiatives?

Yes as an IBIP studentYes as a previous summer program studentBoth an IBIP student and summer program studentNone
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!
Should be Empty: