Questionnaire for Ambassadors Program

1. Accreditation Ambassador Application

Thank you for your interest in serving as an Accreditation Ambassador! Your response to the following survey will help us understand your availability and experience in speaking or presenting on accreditation.

The survey will take between 15-30 minutes to complete. Responses are required for all questions. You may save your responses and come back to them later.

Please note that questions with the * must be answered.

Question Title

* 1. Please provide your contact information.

Name: *

Company: *

Address: *

Address 2:

City/Town: *

State:

ZIP: *

Email Address: *

Phone Number: *

Question Title

* 2. Why do you want to be an Accreditation Ambassador?

Question Title

* 3. Are you willing to speak to potential applicants and others constructively and enthusiastically about the accreditation program?

Yes

Question Title

* 4. Do you agree to participate in an initial one, 1.5-hour webinar training and annual update trainings?

Yes