IDIOPATHIC HYPERSOMNIA AWARENESS WEEK AMBASSADOR
Raising awareness of Idiopathic Hypersomnia takes a village. Your role as an IHAW Ambassador will encourage others to join in. The louder our voice the better chance we have of being heard. Tell us why you think you have what it takes to be an IHAW Ambassador.
Email address *
First Name *
Surname (last name) *
Country *
State, Provence or City *
Post/Zip Code *
What social media will you be using in your role as an IHAW Ambassador? *
Required
Can you please provide your social media handles ie: links to your social media channels. If you do not have any social media enter "N/A" *
What is your connection to Idiopathic Hypersomnia? *
Tell us a bit about yourself that is not related to IH eg: What kind of work do you do? What are your interests/hobbies? Do you have a family? etc *
Tell us why you would like to become an IHAW Ambassador. *
Give us an idea of how you will help promote Idiopathic Hypersomnia Awareness Week. ie: tell us what you will do in your role an IHAW Ambassador. *
I agree to my name, photo and a short (pre-approved) bio being used on IHAW social media and the Hypersomnolence Australia website *
Required
Once you have submitted this form please send us a photo of yourself to IHAWeek@gmail.com. Please note: It must be a photo where we can clearly see your face. This photo will be used as your IHAW Ambassador profile.
We will be in touch shortly after we have received your form.
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