Cultural Ambassador Application - Sustainable mPact™

Name *

Gender

Female
Male
Other

Age *

Country *

City of residence

Email *

Are you active on LinkedIn?

Yes
No

How many LinkedIn contacts do you have? *

Are you active on Facebook?

Yes
No

How many Facebook contacts do you have? *

Are you active on Instagram?

Yes
No

How many Instagram contacts do you have? *

Please mention other social media platforms you have a profile on, how many contacts you have and if you are active.

Please describe your interest and view on sustainibility.

(not more than 150 words)

Please describe why you would like to be an Ambassador with Sustainable mPact?

(not more than 150 words)

Please describe the expectations you have on Sustainable mPact should you become an Ambassador.

(not more than 150 words)

Please describe your strenghts and skills that you feel will contribute most to Sustainable mPact.

(not more than 150 words)

Please select the Art expression where you have your passion

Please describe the Art expression that you are passionate about and how you feel it can be a powerful driver for change.

Please describe examples you have been engaged in or are currently engaged in where you use any Art expression as a driver for change. What results have you experienced coming out of the work described.

What is your primary SDG?

Is there an SDG that interests you more than others?

What is your secondary SDG?

Is there an SDG that interests you more than others?

How many hours per week will you be able to spend as an ambassador for Sustainable mPact?

Selected Value: 1