BGH Ambassador Application

You can always press Enter⏎ to continue

BGH College Ambassador Program Application

BGH College Ambassador Program Application

Thanks for your interest in becoming a member with the Black Girl Health Foundation (501)(c)(3). Please click start to submit your application.

1
Please provide your full name.* This field is required.
First Name
Last Name
2
Please provide your email.* This field is required.
example@example.com
3
Please provide your phone number.* This field is required.
Area Code
Phone Number
4
What college/university do you attend?* This field is required.
5
What is your major?* This field is required.
6
What level of degree to you plan to attain?* This field is required.
Bachelor
Master
Doctorate
7
Please select the option that applies to your current status.* This field is required.
Freshman
Sophmore
Junior
Senior
Graduate
8
Please provide the day(s) and times your schedule permits you to work with us.* This field is required.
9
Select the skills you possess.* This field is required.
Communications
Writing
Graphic Design
Web Design
Editing
Social Media Management
Content Creation
Outreach
10
What can you bring to Black Girl Health Foundation? * This field is required.
Huge
Large
Normal
Small
Ok
Ok
11
Do you serve in any community/campus organizations or sororities? explain how your affiliations can help support our mission.* This field is required.At BGH Foundation, our mission is to reduce the health disparities and increase health literacy among minorities and communities with the highest health risks.
Huge
Large
Normal
Small
Ok
Ok
12
Having a flexible schedule during the week and during some weekends is mandatory. Explain how you would manage your time as an ambassador* This field is required.
Huge
Large
Normal
Small
Ok
Ok
13
* This field is required.Please upload your resume
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
Should be Empty:

Question Label

1 of 13See AllGo Back

Save & Continue Later

Your form is saved successfully!

If you want to continue answering your form later, please enter the email address you would like to send the link to:

Please enter a valid email address.

Something went wrong while saving your answers. Please try again.

Email has been sent successfully.

Save your progress

OR

Already have an account? LOGIN

Skip Create an Account

Save your progress

Name

Email Address

Password

I agree to theTerms of ServiceandPrivacy Policy

Your form submission has been saved as a draft.

If you want to continue answering your form later, please enter the email address you would like to send the link to:

Save your progress

OR

Username or email

Password

Forgot Password?

Your form submission has been saved as a draft.

We’ve sent you an email with a link to complete your submission.