Survey - Ambassador Interest Form - CancerCare Manitoba Foundation

	CancerCare Manitoba Foundation welcomes five to 10 new ambassadors each year. These new ambassadors join a close-knit group of individuals who play a critical role in helping change the cancer landscape in Manitoba. Please complete this interest form to the best of your ability and someone from the Foundation will connect with you.
	PERSONAL INFORMATION
*	Question - Required - First Name
*	Question - Required - Last Name
*	Question - Required - Are you over the age of 18?
*	Question - Required - Phone Number
*	Question - Required - Email
*	Question - Required - Social Media Platforms (please share all social media profiles)
	PERSONAL STORY
*	Question - Required - Please share your personal connection to cancer.
*	Question - Required - Why do you want to become a CancerCare Manitoba Foundation ambassador?
*	Question - Required - What would becoming a CancerCare Manitoba Foundation Ambassador mean to you?
*	Question - Required - What impact do you hope to have on Manitobans?