StudentsCare Community Ambassador Application
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Thank you for your interest in partnering with us to enrich the lives of hospitalized children and isolated seniors in our communities. Please fill out the form below so we can get to know and best utilize your time and talents to further our mission. Do you have your own idea of how to help? Let us know in your comments below!
We look forward to working with you!
- The StudentsCare Team
First & Last Name *
City, State
Email *
Phone number
Are you a high school student? *
Tell us a little about yourself!
Why are you interested in being a StudentsCare Ambassador?
StudentsCare Ambassador Interest (Check all that apply) *
Required
Please share any experience you may have that would support this role.
What amount of time (roughly) are you able to commit to this role? *
How did you hear about StudentsCare?
THANK YOU!  We will be in touch soon!
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