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2018 USAP Events Ambassador Program
In an effort to create growth in the endurance world we are looking for individuals that can help in this process through the channels they have through their work and play. We want individuals that can make a difference in peoples lives through the health and wellness events that USAP supports throughout the year. Thank you for your application!
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Name
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First
Last
Birthday
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Email
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Phone
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Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
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New Zealand
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Tonga
Tuvalu
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Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
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Gabon
Gambia
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Guinea
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Kenya
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Libya
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Togo
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Zambia
Zimbabwe
Country / Region
Employment Information
Employer
Job Title
City
Can we contact you directly for opportunities that USAP can offer for your employer and/or company?
Yes
No, but please contact me for a referral.
No, I prefer no contact
Memberships Information
Please name any team/club/non-profit organizations that you currently are involved in below.
Team/Club/Non-profit Organization
City
Membership
Club Member
Board Member
Other
Board Member Title (if applies)
Can we contact you directly for opportunities that USAP can offer for your Team/Club/Non-profit Organization?
Yes
No, but please contact me for a referral.
No, I prefer no contact
Team/Club/Non-profit Organization
City
Membership
Club Member
Board Member
Other
Board Member Title (if applies)
Can we contact you directly for opportunities that USAP can offer for your Team/Club/Non-profit Organization?
Yes
No, but please contact me for a referral.
No, I prefer no contact
Team/Club/Non-profit Organization
City
Membership
Club Member
Board Member
Other
Board Member Title (if applies)
Can we contact you directly for opportunities that USAP can offer for your Team/Club/Non-profit Organization?
Yes
No, but please contact me for a referral.
No, I prefer no contact
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