Pro-Voice Ambassador Application
Email address *
First Name *
Last Name *
Address *
Phone Number *
What are your key identities? *
How did you learn about Exhale? *
What does “pro-voice” mean to you? *
Why do you want to be a pro-voice ambassador with Exhale? *
What are you excited about in becoming a pro-voice ambassador? *
What are you concerned about in becoming a pro-voice ambassador? *
Describe a difficult conversation you've had where there was clear conflict/disagreement. How did you feel about it when it was happening? How did you handle it? What would you have done differently? How do you feel about it now? *
What networks are you connected to that you would like to share a pro-voice conversation on abortion, and why? *
Do you have a close friend/colleague you could partner with on this project? If so, who are you thinking of and why? *
Tell us about your experience leading or facilitating groups. *
What special skills will you bring to your pro-voice ambassador role? *
How are you hoping to contribute to or expand Exhale's mission? *
Can you commit to doing 4 virtual training sessions (2 hours/each) with Exhale staff? *
How soon can you start the training with us? *
What are the best times for you to participate in training? *
Check one time zone, and as many other options that apply
Who are two people who have been mentors to you? What do you appreciate about them? What have you learned from them? *
Describe your community of support. Who do you rely on? What kind of support do you think you will need during this project? *
If accepted into the pro-voice ambassadors program, I agree to participate to the best of my ability by attending virtual trainings, participating in conversations with other trainers and staff, following through on periodic check-ins and do outside work as assigned. (space for e-signature) *
Personal and Professional References
No family members, please
Reference 1
Name *
Relationship *
Email *
Phone Number *
Reference 2
Name *
Relationship *
Email *
Phone Number *
Reference 3
Name *
Relationship *
Email *
Phone Number *
Additional Comments *
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