Sick Chicks Local Leaders Application
Email address *
Name *
Age *
Social Media Handles *
Address *
What is your illness/disability affiliation?
How long have you been a Sick Chicks Sister for? *
How did you hear about Sick Chicks? *
What does the phrase "empowered women empower women" mean to you? *
Name a young woman that inspires you and why - can be a family member, a celebrity, a friend, a stranger, etc. *
How much time will you be able to dedicate to being a Sick Chicks Ambassador? While you must renew your status yearly, can you share how long you plan to be an Ambassador for? *
Do you have previous (or current) experience running a club, planning events, organizing fundraisers, legislative advocacy, etc.? If yes, please describe. *
What connections with other organizations do you have that you will utilize to benefit Sick Chicks and your community? *
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