PERSONAL INFORMATION

PLEASE FILL OUT THE INFORMATION BELOW.

Thank you for inquiring and taking this next step. We will contact you to discuss opportunities in more detail.  

PLEASE NOTE:
If you haven't done so already, please be sure to fill out the Ambassador for Change Leadership application once this form is completed. Your information will be placed on hold until both are received. 

DON'T CLOSE our your browser while filling out your application, information will not be saved. Once you hit send below, you will receive a confirmation.  

Fundraising is an impactful way to participate!  It is very easy to get started and we would love to help you along the way.  One of the most successful ways is to write a personal handwritten letter sharing YOUR WHY, what you will gain, your participation in our Grassroots Leadership Program and share with family, friends, and those who want to see YOU grow.  We are happy to help you create a script and materials to send.   It can also be a tax deduction, however, that is a conversation for their tax expert.