Ambassador program - Epilepsy Wisconsin

ambassadors of the epilepsy foundation of wisconsin

The Epilepsy Foundation of Wisconsin Ambassadors are a select group of passionate individuals who will be representing the Foundation. They will be working in a variety of roles including networking, volunteering at events or programs, making new connections while promoting epilepsy awareness through advocacy, education, research and services.

This program is open to everyone! Whether you have epilepsy (current or past), friend or family, or anyone who wants to be involved and learn more.

If you are interested in becoming an Ambassador please fill out this application

Name *

First

Last

Address *

Date of Birth *

Phone Number *

Email *

Are you seizure first aid certified through the Epilepsy Foundation? *

What is your connection to epilepsy? *

Are you able to drive? *

This in not a requirement, but there are opportunities to travel throughout the year.

Do you use any form of social media? *

This is not a requirement, but may be useful in certain areas.

Have you attended any Epilepsy Foundation events in the past? *

Please list

Have you volunteered for the Epilepsy Foundation in the past? (Yes/No) *

if yes, please list.

Do you have any other volunteer experience? (Yes/No) *

If yes, please explain.

Are you an ambassador for any other organizations? (Yes/No) *

If yes, please list.

How did you hear about this opportunity? *

What interests you most about this program? *

What are you looking forward to about this program or what are you hoping to gain from the experience? *

Why do you want to be an Ambassador for the Epilepsy Foundation of Wisconsin? *

Are you currently employed or in school? (Yes/No) *

Please tell us where.

What are some things you are passionate about? *

What is an achievement you are proud of? *