Change Agent Application

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Change Today, Change Tomorrow (CTCT) is seeking independent contractors to serve as Change Agents, responsible for canvassing flyers and providing outreach tabling at community events. The successful candidate will be responsible for distributing flyers on cars, doors, and other designated locations, providing information on CTCT programs and services, and offering support to families in the community.

Name *

Mailing Address *

Phone Number *

Email Address *

Days and Hours Available *

Earliest Start Date *

YYYY

Are you familiar with Google Workspace? For example, navigating word and spreadsheet documents. *

Please list any previous experience you have in community outreach or canvassing: *

Are you able to work flexible hours, including evenings and weekends?
*

Yes

Do you have reliable transportation?
*

Yes

Are you able to stand, walk, and carry up to 25 pounds for extended periods?
*

Yes

By signing below, I certify that all information provided in this application is true and complete to the best of my knowledge.
*

Today's Date *

YYYY

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