2022 HACC Ambassador Application

Personal

Name

First Name *

Last Name *

Gender *

Male Female

Home Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Cell Phone Number *

Work Phone Number

Email Address *

Email will be our primary form of communication. Please use an email address that you check often.

Employment

Business Sponsor *

Please enter your business name as your business sponsor.

Name of Employer

Please enter the person approving your Ambassador application.

First Name *

Last Name *

Business Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Title *

Length of Employment *

Organizations/Activities in which you are actively engaged in:

Why would you like to become a HACC Ambassador? *

What strengths do you possess that you feel would benefit the Hartselle Area Chamber of Commerce? *

Please list five adjectives that best describe you and your personality. *

What most motivates your to be an Ambassador? (check all that apply) *

Networking Volunteer Recognition Business promotion

What are some ways you would like to participate? (check all that apply) *

Member Care/Welcoming new businesses to Hartselle Ribbon Cuttings/Groundbreaking Ceremonies New Member Onboarding Event Volunteering Ambassador Leadership Team/Team Captain

Ambassador Fees

New Ambassadors are assessed an annual fee of $150 to help cover the cost of approved apparel required for HACC functions and other expenses. Billing for these fees will be completed by the Chamber office in January and billed to your business sponsor. Returning Ambassadors are assessed an annual fee of $50 and can replace apparel as needed each year.

If you are a returning Ambassador, please check which items we need to purchase for your 2022 Ambassadorship:

Ambassador name tag ($10) Ambassador t-shirt ($15) Ambassador Sportscoat ($120)

HACC will bill your business sponsor for items selected with your annual fee of $50 in January.

By typing your name below, you agree that you have reviewed, understand, and accept the outlined duties and responsibilities required of the position of Hartselle Area Chamber of Commerce Ambassador. *

By typing your employer's name below, you acknowledge they know you are submitting this application under their sponsorship and they know they will be billed for your annual Ambassadorship with the Hartselle Area Chamber of Commerce in January. *

Thank you for your application!

For questions or more information, please contact the HACC office at 256-773-4370.

2022 HACC Ambassador Application

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