*Full Name:(Required.)

*Company:(Required.)

*Title:(Required.)

Phone:

*Email Address:(Required.)

Please list any current or prior ACG (chapter or global) roles/service:

*Describe why you would like to be an Ambassador, and what your vision would be in this leadership role:(Required.)

Please list any volunteer experience in other organizations:

*The role of an Ambassador is to represent ACG Boston and connect with new members at events, and therefore requires attendance at multiple events throughout the year.  Please comment on whether this is something you are willing and able to do:(Required.)