Ambassador Application Form


General Information

Mr. Mrs. Miss Ms.

First and last name:

Address:

City:
State:
Zip:
Home phone:
Work phone:
Cell phone:
E-mail:
Preferred form
of contact:

Male Female
Are you under 18?

 		 Yes No
Group affiliation: (i.e. name of church, business, school)

How did you hear about City Rescue Mission’s Ambassador Program?

Please describe the reasons you feel led to serve as an Ambassador.

List your skills, talents, training and/or interests that will equip you as an Ambassador.

       

 



City Rescue Mission • 800 W. California Ave. • Oklahoma City, OK 73106 •  (405) 232-2709