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BMBFA Mommy Ambassador Interest Form
The BMBFA Mommy Ambassadors are a group of volunteer mommies who publicly represent BMBFA; speaking on behalf of the organization to various audiences. Their voices are amplified to influence and shape institutional, local, state and national policies and practice.
Please fill out this short survey if you are interested in joining our team and we will be in touch!
-Malikah Garner & Victoria Washington, BMBFA Mommy Ambassadors
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* Indicates required question
First & Last name
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Are you a BMBFA mom?
*
Yes
No
Maybe
What BMBFA services have you used?
*
Breastfeeding Club
Doula
Childbirth Education Class
Breastfeeding Class
Other
Required
If you selected "other" please list the BMBFA service here.
Your answer
How did you hear about Mommy Ambassadors?
*
Your answer
Why are you interested in becoming a Mommy Ambassador?
*
Your answer
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