Please complete the application to determine if you are a good candidate for the Ambassador Program.

Question Title

* 1. Full Name:

Question Title

* 2. Firm Name:

Question Title

* 3. When did you join ElderCounsel?

Question Title

* 4. What are some of the challenges you are experiencing? Select all that apply.

Question Title

* 5. What is the primary topic you wish to explore with your Ambassador?

Question Title

* 6. The purpose of the Ambassador Program is to help members gain confidence and comprehension in elder law planning, as well as improve their business success. As a participant in this program, would you be willing to share your business, practice, and or personal challenges in achieving your desired results? And are you willing to commit to this program, connect with your assigned Ambassador via email or phone, and respond promptly?

Question Title

* 7. If you are looking for assistance on a specific case, that would be deemed a co-counseling situation. Would you be willing to enter into an agreement to co-counsel with the Ambassador?

Question Title

* 8. Do you agree to not enter into conversations about specific cases or request legal advice without entering into a co-counseling agreement with the Ambassador?

Question Title

* 9. The Ambassador Program provides you access to your Ambassador for a period of up to six months. Not all participants require that much time to obtain the needed support they are seeking. How many connections do you anticipate you would require to gain the support and mentoring to overcome your business challenges?

Question Title

* 10. Have you completed your Membership Onboarding and ElderDocx Drafting Training with your Membership Representative?

Question Title

* 11. Please share any additional information or insights you wish to better help us support you through the Ambassador Program. 

Thank you so much for your interest! We will be in touch soon to discuss your participation in the Ambassador Program.

T