Get 2016 Ambassador Application Form - March Of Dimes

Filling out the 2016 Ambassador Application Form for the March of Dimes is an important step for individuals seeking to get involved in supporting families and children impacted by premature birth and other health challenges. This guide provides a clear, step-by-step approach to successfully complete the application online.

Follow the steps to fill out the form efficiently and accurately.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. Begin with the candidate information section. Enter the date of application, name of the child, age, and date of birth. Fill in the home address, including city, state, and zip code, as well as the home phone number and city of birth.
3. Next, provide details about the name of the school the child attends, the school address, and the grade level.
4. In the family information section, list the names and birth dates of the parents, their occupations, and their contact details, including business address, phone, fax, and primary email.
5. Include any additional family or household members, providing their names, relationships to the candidate, and their ages or dates of birth.
6. For candidate medical information, enter the name and contact information of the physician. Specify any conditions diagnosed at birth by checking applicable boxes and providing additional details as necessary.
7. Describe treatments or medications used to improve the child’s health. Check all relevant boxes and provide specific information where indicated.
8. Use the designated area to share the story of your child’s birth and detail how March of Dimes has positively affected your child.
9. Indicate if a March of Dimes grantee worked with your child and explain briefly if applicable.
10. Explain your interest in becoming a 2016 March of Dimes Ambassador and provide information on any family connections to the organization.
11. List any volunteer involvement your family has had with March of Dimes and state plans for fundraising teams.
12. Finally, complete the application checklist, ensuring all materials are included, and submit your application via the specified channels.

Take the first step towards making a difference by completing your application for the March of Dimes online.