LITERACY AMBASSADORS PROGRAM 2026-2027 APPLICATION FORM

If you have any questions about the application, please contact Sandy Mendoza at smendoza@familiesinschools.org or (213) 500-7704.
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Email *
CONTACT INFORMATION
Full Name (First & Last) *
Address, City, State, & Zip Code *
Phone Number (Home) (if you don't have one, write "N/A") *
Phone Number (Cell) (if you don't have one, write "N/A") *
Email (if you don't have one, write "N/A") *

How did you hear about the Literacy Ambassador Program? (Check all that apply)

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Required

What language(s) are you fluent in?

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YOUR CHILD'S INFORMATION
You do not need to be a parent to apply, so if you have no children, write "N/A" for these questions.
Your Child's Age (If you have more than one child, enter all of their information in the same text box) *

Name of the School Your Child Attends (If you have more than one child, enter all of their information in the same text box)

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Your Child's Grade Level (If you have more than one child, enter all of their information in the same text box)

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GETTING TO KNOW YOU
Your responses to the questions below will help us learn more about you, your motivation for becoming a Literacy Ambassador, and what’s important to you.

What motivates you to help improve literacy in your community?

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How many hours per week can you commit to speaking with parents and participating in community events?

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Tell us about your experiences speaking in front of others or leading group conversations.

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Are you currently involved in any community organizations or groups? If yes, please describe.

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How familiar are you with the literacy challenges and needs in your community?

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Is there any other information you would like to share about yourself or your interest in becoming an Ambassador?

Please mark all of the days and times you are available to attend trainings, activities, and community events:

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Required
AGREEMENT & SIGNATURE
If accepted as a Literacy Ambassador, I agree to support Families In Schools’ vision, goals, and values in all that I do as an Ambassador. I grant FIS consent to contact me via email, text message, telephone, and/or regular mail. *
Required
Digital Signature (Your First and Last Name) *
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