Ambassador Form

Name*

First Last

Phonetic Spelling of Name

What are your pronouns? Please choose all that applies to you.

Company*

Job Title*

Email*

Phone*

Company Website*

Company Twitter

Company Instagram

Personal LinkedIn

Personal Twitter

Personal Instagram

Tell us a bit about yourself!

3 to 5 Areas of Interest as an Ambassador*

Would you be willing to touch base with new members to help them get engaged in The Chamber?

Yes
No
Not sure

Would you like to get involved in a new Chamber networking event we are introducing this year?

Yes
No
Not sure

Please upload your headshot

Accepted file types: jpg, png, Max. file size: 20 MB.

Self Declaration

The collection of self-identification data questions below are a part of The Chamber’s commitment to diversity, equity, and inclusion (DEI). It will help The Chamber best serve you and our business community. This data will allow us to analyze the diversity within our ambassadors and volunteers, monitor our DEI efforts, and recognize and remove barriers to ensure inclusive and accessible events. This self identification section is voluntary.

Are you an Indigenous person? (First Nations, Inuit, or Métis)

Which of the following best describes your racial identity? Please check all that apply:

If you chose "Prefer to self describe" to above question, please respond here:

Do you identify as a member of the 2SLGBTQ+ community?

The 2SLGBTQ+ acronym is used for people who may identify with one, or many of the following: Two‐Spirit, Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Inter‐sex, Asexual, + denotes anyone who does not identify as any of the above, or heterosexual and/or cisgender.

What is your gender identity?

If you chose "Prefer to self describe" to above question, please respond here:

What are your pronouns? Please choose all that applies to you.

She/Her
He/him
They/Them
Perfer not to say

Are you a Person with a Disability?

We strive to host inclusive, accessible events that enable all individuals to engage fully. If you require accommodation please let us know here:

If you chose "Yes" to above question, please list required accommodations here:

Consent*

I agree to the privacy policy.

Information collected in our Ambassador form is for the sole purposes outlined above and is only accessible by designated staff on a need-to-know basis. We strive to protect your information, following the guidelines set out in our Privacy Policy. We do not share your information with any third parties.

Winnipeg Chamber Ambassador Form

Ambassador Form

Self Declaration

Get Social With Us