JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
AMIGOS Moderator & Co-Host SignUp
Thanks for requesting to be a Co-Host/Moderator for AMIGOS ClubHouse Chats.
Please complete the form below so that we can coordinate moderators.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your Full Name
*
Your answer
What is your Clubhouse user profile?
*
example: @danay.e
Your answer
Do you want to be a co-host/moderator or host your own room?
Co-host to any open rooms that need help
Host a room about a topic
Both, I would like to help as a co-host/moderator AND host a room
Clear selection
What times & Dates are you available?
Your answer
Which AMIGOS Admin sent you this form?
Your answer
If you want to run your own room, tell us about the topic you would like to cover.
Your answer
Will you be including any additional subject matter experts to co-host with you? If yes, please tell us about them.
Your answer
What topic(s) wpi;d your room(s) fall under? Select all that apply
*
Mindset
Parenting
Photography
Arts & Entertainment
Outdoors, Gardening, Sustainability
Travel
Wellness
Connections & Networking
Entrepreneurship
Financial Literacy
Career Development
Education
Tech
Social Media & Marketing
Women Empowerment
Education (English + Spanish)
Conflict Resolution
Spanish Language
Other:
Required
What is the best phone number to reach you if we need to text you?
*
Your answer
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
