Jarrell V. Jordan Foundation: Life Ambassador Form

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Ambassadors are people like you who see a need in the world and want to get up and DO SOMETHING ABOUT IT. Ambassadors are volunteers who share LIFE with others by empowering others, helping others, supporting others, promoting the Importance of Life. They are feeding the hungry, giving water to the thirsty and bringing hope to the hopeless. In order to have the greatest impact, Jarrell would like to have Life Ambassadors in every major city to teach people about the Importance of Life. Will you influence those around you to Value Their Life?

Each Ambassador will receive an .Official Life Ambassador Membership Card via email and text.

Email *

First Name *

Last Name *

Current Position *

Administrator

Business Owner

Community Member

Counselor

Education Advocate

Educator

Government Official

Parent

Student

Other:

What Company or Organization are you with? *

Name of Agency, Company, Non-Profit, Organization or School

Primary e-mail *

Primary Phone Number *

Home City & State *

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