AMIGOS Moderator & Co-Host SignUp
Thanks for requesting to be a Co-Host/Moderator for AMIGOS ClubHouse Chats.

Please complete the form below so that we can coordinate moderators.
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Email *
Your Full Name *
What is your Clubhouse user profile? *
example: @danay.e
Do you want to be a co-host/moderator or host your own room?
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What times & Dates are you available?
Which AMIGOS Admin sent you this form?
If you want to run your own room, tell us about the topic you would like to cover.
Will you be including any additional subject matter experts to co-host with you? If yes, please tell us about them.
What topic(s) wpi;d your room(s) fall under? Select all that apply *
What is the best phone number to reach you if we need to text you? *
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