Impact Ambassador Application
Are you spearheading a mental health related project in your community or do you have an idea you want to put into action? If so, apply to become a Project Empower Impact Ambassador!
Upon being accepted as an Impact Ambassador, you'll receive specialized resources for your specific project. Your project can also be showcased on our social media platforms as well, to spread awareness of the work that you're doing and to broaden support for your project!  If you have any questions, feel free to email us at projectempower2020@gmail.com or DM us on instagram.
Sign in to Google to save your progress. Learn more
Name *
Instagram Handle
State/Country *
Tell us about your current project or your project idea. *
Include what motivated you to start this project and what your project has done/will do.
Link that showcases your project
Such as an instagram page, facebook page, website, even a pdf of photos of your work. We use this to get an understanding of what your project's mission is and its impact.  
What resources would you like Project Empower to provide for your initiative? *
For example: Powerpoints on stress management, posters for an awareness campaign, email templates for reaching out to an organization you'd like to work with, etc. You know your project's needs, feel free to let us help!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report