Ambassador Application

If you are interested in applying to become a Peoria Area Chamber of Commerce Ambassador, please fill out the form below.

Name:

Name

Business Address:

Business Address

City:

City

State:

State

Zip Code:

Zip Code

Phone:

Phone

Fax:

Fax

Cell Phone:

Cell Phone

Email Address:

Email Address

Company Affiliation:

Company Affiliation

Business Category:

Business Category

Job Title:

Job Title

Supervisor's Name:

Supervisor's Name

Are you available the second Tuesday of the month at 8:00 a.m. for the monthly Ambassador meeting?:

yes

Is your company aware you are applying for this volunteer position and are they willing to support your participation?:

yes

Is your work schedule flexible and will it allow you to attend periodic ribbon cuttings (i.e. 2 or 3 per month)?:

yes

The commitments and responsibilities of the Ambassador Group have been explained to me and I wish to be considered.:

yes

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