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* 1. What is your Name?

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* 2. Give a few sentences on who you are and what your expertise is:

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* 3. What are a few stories you think the media would find interesting about you and your topic:

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* 4. Why are you passionate about your topic?

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* 5. If the media responds to pitches we send on your behalf, how responsive do you think you'll be?

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* 6. Are you willing to be helpful to members of the media and do things that make their lives easier? (Provide extra facts, elements, or suggest others that help make their stories great.)

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* 7. When are you hoping to become an Ambassador and start being promoted to the media?  (Right now people are waitlisted but we are about to open a new round of Ambassadors entering the program.)

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* 8. Can you include a website or links for us to check out?  We'd like to see if you'd be a fit / have something that would be interesting to the media. (Also include media experience or share links if you have them.)

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* 9. How can we best reach you? Include your contact information here.

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* 10. Is there anything else you'd like us to know?

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