Haitian Young Ambassadors Program ( Cohort IV )

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is operated by Haiti Executive Board to help mobilize resources, signatories, and capital to the Economic Pledge to help diversify Haiti economy and graduate Haiti by 2050 of the UNCTAD.

Full Name *

Active or Professional E-mail *

State the Company or Organization you work for. If you are not currently working for any company or organization, just write : Unemployed. *

Telephone Number or WhatsApp Number *

What is your age group ? *

18-25

26-35

36-45

Required

Country of Residence ? *

City of Residence ? *

What Haitian City or region in Haiti are you or your parents from ? *

In clear terms , what expertise do you have and how you plan to use it in this ambassadorship program? *

How would you like to advocate as a/an ? *

Brand Ambassador ( Brand Collaboration with 10K+ followers on LinkedIn )

Expert Leader (Consulting for Benefits & Rewards)

Community Ambassador ( Commercial Partnerships & long-term growth )

Young Ambassador ( Volunteer or in-kind or/and Cash Rewards )

List top three social medias with highest number of followers. *

Instagram

Facebook

X(Twitter)

TikTok

Other:

Required

How would you like to advocate as Ambassadors to maximize the marketing outcomes of the Economic Pledge *

Outreach to my network, family , friends , and others for commitment

Join the campaigns and activate fundraising targets to get more donations and contributionss

Ask for external funding support from businesses and organizations to donate for this cause

Please choose the major reasons why you commit to join HEB as Ambassadors *

I need visibility for my work and increase my personal or professional brand

I love my home country and commit to support in any of my capacity

I work towards a more noble cause of regional economic development in Haiti

I use my professional experiences, skills, and networks to graduate Haiti by 2050

I need to grow to expand my influence and support my community

Select top three of your core values. *

Integrity

Marketability

Trustworthiness

Passion

Purpose

Professionalism

Communication

Required

State why we should consider you in the HYAP as Haitian Young Ambassadors. *

Please share personal story on your performance, civic leadership, and character-led discipline to help reach us our fundraising goal and amplify our mission. *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms