The Warrior Ambassadorship Application
Apply to become an environmental health warrior!
-Completion of a Mandatory Questionnaire
-Execution of at least 1 Community Outreach, Educational, or Civic Engagement Project in your local
community/school; you would be required to provide us any relevant pictures, materials, and more so
we can give you credit for your activism
-Must be enrolled in a middle school, high school, or undergraduate program

Additional Opportunities:
For high school and college students, we have internships available. Please email us with a brief
summary of what your skill set is and a resume, and we will send you an internship application.
Our team will try to match you with an opportunity that would be a good fit. You may also apply to intern if selected as an ambassador.
Email address *
What is Your Full Name?
What school do you attend?
Please explain one project idea you would like to implement as an Ambassador. This can be a community outreach project, civic engagement focused project, or an educational project.
How would you implement this project idea?
Do you understand and agree to the requirements of the Warrior Ambassadorship Program?
Clear selection
Are you interested in developing new chapters of The Community Check-Up in your undergraduate institution, high school, or middle school?
Clear selection
Will you need The Community Check-Up to sign off on any volunteer hours from your work as an ambassador?
Clear selection
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy