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Double Up Food Bucks - Ambassador Program Application
Please email Mason (mdurfee@oregonfoodbank.org) if you would like to receive an email with the full program description.
Name *
Pronouns *
Organization/Affiliation (if applicable, not required)
Street Address                                                                                   (Please provide the street address and/or PO Box where you receive your mail and include an apartment number if applicable) *
City *
State *
Zip Code *
Phone Number *
Voicemails okay? *
Okay to text? *
Email *
Age *
Next, we will ask a few questions about your situation. Your answers will have no impact on your eligibility for the program. We ask these questions to ensure we are prepared to meet the needs of participants.
Do you identify as any of the following (select all that apply): *
Required
Do you have access to a vehicle you can drive and take to participate in Ambassador program activities? *
Do you anticipate needing child care assistance to participate in the program?                                                      Note: Participants are eligible for free assistance for child care *
Will you require translation or interpretation assistance?                                                                                        Note: Participants are eligible for free assistance for translation and/or interpretation *
Commitment to Full Participation
Participants will have the most valuable experience when committed to full participation and active engagement with all the program’s training, activities and events. These commitments include: participation in all convenings, meetings, training and webinars, responding to text, phone, and/or email communications in a timely manner; participation in brief phone check-ins and evaluations with Oregon Food Bank staff; providing feedback to Oregon Food Bank regarding the cohort. *
Required
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