GNCC Ambassador Program Grant Application
Please fill out the information below to apply for a GNCC Ambassador Program grant. Details about the program can be found on the GNCC website. The information provided will be sent to the GNCC Executive Board and the Ambassador Program Coordinator, Tyler George. Grants and requested dates are subject to availability.
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Email *
Contact Name *
Contact Phone Number
Preferred Contact Method *
Club Name *
Club/Facility Address *
Club Type *
Requested Start Date of Ambassador Visit *
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Requested End Date of Ambassador Visit
 *
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DD
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YYYY
Details of Requested Visit (ideas, events, media engagements, etc., if known)
Questions/Comments (including alternate date options, etc.)
A copy of your responses will be emailed to the address you provided.
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