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10X IMPACT AFRICA AMBASSADOR APPLICATION FORM
Welcome! Thank you for your interest in becoming a 10X Impact Africa Ambassador. Please complete this application carefully. Only shortlisted applicants will be contacted.
PERSONAL INFORMATION
1. Full Name
*
2. Email Address
*
3. WhatsApp Number
*
4. Age Range
*
5. Country
*
6. State/Province
*
7. Institution/Organization
8. Current Status
*
APPLICATION
9. Why do you want to become a 10X Impact Africa Ambassador?
*
10. What leadership experience or community impact have you had?
*
11. If selected, how will you promote 10X Impact Africa in your school, community, or country?
*
SOCIAL PROFILE
12. LinkedIn Profile
13. Other Social Media Handle
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COMMITMENT
14. Can you commit at least 3–5 hours per week to ambassador activities?
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A
Yes
B
No
15. Are you willing to organize or support 10X events in your community?
*
A
Yes
B
No
DECLARATION
I certify that the information provided is accurate and, if selected, I will represent 10X Impact Africa with excellence, integrity, innovation, and selfless service.
*
I agree
Submit
