EFM Junior Ambassador Program Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

🌟 Let's build a brighter future, one story at a time! 🌟

Child’s Name *

Child's Birth Year (optional)

Age Group *

0-2 years

3-5 years

6-8 years

9-11 years

12-14 years

15-17 years

18 years - 22 Years not yet graduated

Parent/Guardian Full Name

Parent/Guardian Contact Email:

Parent/Guardian's Military Affiliation

Active Duty

National Guard

Reserves

Retiree

Veteran

Parent/Guardian's Branch of Service:

Air Force

Army

Coast Guard

Marine Corps

Navy

Space Force

Parent/Guardian's Rank (if applicable):

Multiple choice allowed for dual military

(optional)

E-1

E-2

E-3

E-4

E-5

E-6

E-7

E-8

E-9

WO-1

CW-2

CW-3

CW-4

CW-5

O-1

0-2

O-3

O-4

O-5

O-6

O-7

O-8

O-9

O-10

Family's EFMP Enrollment (check all that apply). *

1 Child Enrolled

2 Children Enrolled

3 Children Enrolled

4 Children Enrolled

5 or More Children Enrolled

Spouse Enrolled

Required

Are you submitting applications for more than one child? *

Yes

If you are submitting applications for more than one child can you please list all names here so that we can group you as a family?

(optional)

Tiktok User Name (optional)

Instagram User Name (optional)

Facebook Username (optional)

X (formerly known as twitter) Username (optional)

(optional)

We may choose to feature our EFM Junior Ambassadors on our website or social media platforms from time to time. Is there anything you'd like to share with us about your child?

Ex: Melanie is an outgoing little girl, that loves all things nature! On rainy days you'll find her inside looking out waiting for the rain to stop while her best friend, her cat named Sophie, sits on her lap. Melanie also thinks she's a social media super star and has now decided she no longer goes places to play but to film content for her fake social media channel.

Liability Release *

AGREE

Required

WHAT HAPPENS NEXT?

A member of the team from EFM will email you a welcome letter, so please be on the look out!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Exceptional Families of the Military. Report Abuse

Forms