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LFA Mission Mover Commitment Form
Thank you for your interest in becoming a LFA Mission Mover. This leadership-level volunteer role offers flexible, meaningful ways to support Walk to End Lupus Now, Lupus & You programs, and other mission-focused initiatives.
Please complete this form and your market manager will be in contact to discuss the next step.
SECTION 1: BASIC INFORMATION
Name
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First
Last
Email
Phone
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Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
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
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Mission Connection
Please select
Living with Lupus
Caregiver
Friend
Family Member
Healthcare Professional
SECTION 2: AREAS OF FOCUS (Select all that apply)
Walk to End Lupus Now
Lupus & You Empowerment Conference
Lunch & Learns
Community Events
Other (please describe)
SECTION 3: MISSION MOVER COMMITMENT LEVEL
Which Mission Mover commitment level are you interested in?
*
Mission Mover (Approximately 15 hours/year)
Mission Mover Leader (Approximately 25 hours/year)
I’m not sure yet. I’d like to learn more
SECTION 4: ACTION COMMITMENTS
A: Awareness & Recruitment
How would you like to support awareness and recruitment? (Select all that apply)
*
Recruit walk participants or teams
Recruit walk volunteers
Recruit walk corporate teams
Promote LFA programs in my community
Share LFA events on social media or through email
Support awareness through story and LFA mission sharing
Host or co-host a Lunch & Learn
Encourage others to get involved
Other (please describe)
B: Sponsorship & Relationship Building
How would you like to support community or sponsor relationships? (Select all that apply)
*
Make introductions to potential sponsors or partners
Support sponsor stewardship at events
Assist with in-kind partnership opportunities
Outreach to local media
Support constituent engagement and community-building
Other (please describe)
C: Planning & Event Execution
In what ways would you like to support planning or event-day execution? (Select all that apply)
*
Participate in pre-event planning
Help with pre-event preparation or logistics
Support day of activation and participant experience
Serve as an on-site leader during events by welcoming and engaging participants on site
Other (please describe)
SECTION 5: AGREEMENT & UNDERSTANDING
Please confirm your understanding of the Mission Mover expectations (check all boxes to confirm):
*
I understand LFA Mission Movers support awareness, recruitment, community building, event execution, and participant experience .
I understand there are no fundraising minimums and no standing monthly committee meetings.
I understand that staff will provide clear guidance and support.
I agree to represent the Lupus Foundation of America with professionalism, care, and respect.
I understand this is a one-year commitment, renewable annually.
SECTION 6: SUBMISSION
Signature
*
Clear
Date
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