Teen Ambassador Application Form
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Complete Teen Ambassador Application Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
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1
2
3Ronald McDonald House
of Portland, Maine, Inc.
®
Teen Ambassador Application Form
Applicant Name:
Date of Birth:
Address: City:
State:
Zip Code:
Name of School:
Grade:
Preferred Phone: (
)
Email:
Parent/Legal Guardian Name (please print):
Emergency Contact:
Relationship:
Preferred Phone: (
)
Alternate Phone: (
)
Please list the activities you are involved in (sports, music, theater, community service, clubs, etc
How would you plan to fit the monthly meetings, activities and events into your schedule?
Why do you believe you should be selected as a member of our Teen Ambassador Program?
What experience have you had that would help make a contribution to the Ambassador Program?
What do you hope to gain from this program?
Continued on Next Page
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250 B
S
P
, M
P
207.780.6282
F
207.780.0198
RACKETT
TREET
ORTLAND
AINE
04102
HONE
AX
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Parent category: Business