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* 1. I have read and agree to the Project 2025 Champions Expectations.

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* 2. Today's date

Date

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* 3. Your contact information

AFSP Chapter Connection: You must be a current, active volunteer with your local AFSP Chapter, with at least one year of experience, to be considered for the Project 2025 Champions position. Please indicate below your AFSP Chapter affiliation and also the name of the Chapter board member who is sponsoring your application (or in other words, which Chapter board member is recommending you for this position):

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* 5. Name and Role of Chapter representative sponsoring this application

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* 6. Your Area Director

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* 7. Your Division Director

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* 8. Describe your volunteer history with AFSP below, including approximate length of time active in each volunteer role.

  Less than 6 months 6 months - 1 year 1 year - 3 years More than 3 years
Field Advocate
Chapter board member
Chapter committee chair
Chapter committee member
Walk coordinator
ISOSL Day coordinator
Educational event coordinator
Other event coordinator
Survivor outreach program volunteer
Overnight walker/crew
Talk Saves Lives trainer

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* 9. For the above question, specify board member position(s), committee name(s), walk location(s), ISOSL Day location(s), educational event details, and other volunteer role details below.

The following questions will ask you to describe in more detail your interest in the Project 2025 Champions role. Please be as specific as possible in your answers.

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* 10. What interests you about the Project 2025 Champions role?

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* 11. Describe the relationships you have established with local community partners in the critical areas of Project 2025 (Firearms, Large Healthcare Systems, Emergency Departments, Corrections) that you will bring to the Champions role.

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* 12. What are you most proud of from your work as an AFSP volunteer?

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* 13. Of Project 2025’s four critical areas, what critical area most interests you and why? (Learn about the critical areas at afsp.org/project2025.

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* 14. What prior experience, if any, in program implementation, public health/healthcare, partnership development, and/or communications do you bring to the Champions role?

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* 15. Describe your comfort level with public speaking.

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* 16. We anticipate that Project 2025 Champion work will require about 2-3 hours per week. How much time per month, on average, do you anticipate having free for Project 2025 activities? (We are looking for your best guess and realize that your free time will inevitably vary month-to-month).

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* 17. Anything else you'd like us to know about you?

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