Join the M.A.C.!
Fill out this form to join the M.A.D. Ambassador Club!
What is your Instagram handle?
What is your Twitter handle?
What is your Facebook handle?
First Name *
Last Name *
E-mail Address *
City *
State *
Age *
When is your birthday? *
MM
/
DD
/
YYYY
My GPA is a 2.0 or better! *
Pick your top 3! I am passionate about: *
Required
As a member of the M.A.C., by checking YES, I understand that my name, city, and state will be shared on this website to help encourage others in my location! *
Required
I agree to serve my community by volunteering 4 hours/month for 1 year and maintain a GPA of 2.0 or BETTER! By checking this box I promise to make a difference and share with others via social media by tagging @themadgirlsinc and using #IMAY! *
Required
Share an idea with your peers here on how you can simply make a difference in your community! *
xoxo, The M.A.D. Girls
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.