Ambassador Form

Full Name *

First

Last

Gender *

Date of Birth *

Country of Residence *

City/State *

Phone Number *

Reference hours Gender

Email Address *

Occupation/Status *

Organization/School (if applicable)

Primary Social Media Platform *

Social Media Handle/Link *

Why do you want to become a Chatnite Africa Ambassador *

What impact would you like to create in your community *

Describe a project, event, or initiative you have led or participated in.

How many hours per week can you dedicate to ambassador activities *

Are you willing to represent Chatnite Africa online and offline

Reference Name (optional)

Reference Contact (optional)

Final Consent *

I confirm that the information provided is accurate and I am willing to serve as a Chatnite Africa Ambassador if selected.

Join the movement today!