Montana Ambassador Application Form Name* First Last Business/Affiliation*Role/Job Title*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Birthday* Business Phone*Personal CellEmail* Website (if applicable) Upload a headshot you want to useAccepted file types: jpg, gif, png, jpeg, bmp, tiff.IndustryEducationCorporate/BusinessSelf Employed/EntrepreneurGovernmentEconomic Development OrganizationChamber of CommerceManagementHospitality and ServiceNon-ProfitMilitary/VeteranRetiredOtherNominationAs a potential Montana Ambassador, you'll need the support of two current Ambassadors. Below please list the names and contact information (phone or email) of those supporting your nomination.Name of Ambassador Supporting Your Nomination*Email* Phone*Name of Ambassador Supporting Your Nomination*Email* Phone*Areas of InterestAs a volunteer-run organization, we rely on members like you to help us achieve our mission. Help us better understand what areas you're most interested in and how we might best engage you as a member.Would you be willing to volunteer your technical skills to Montana Ambassadors?*Yes.That isn’t the best use of my time or resources.What are those skills?Do you have strong professional networks in any communities outside of Montana that are within one flight?*YesNot reallyWould you be interested in working to expand markets outside of Montana?YesNoWhat areas of work are you particularly interested in sharing with the Montana Ambassadors? Select your top 3 favorite.* Tourism Conservation Infrastructure Startup and Entrepreneurship Business Stabilization: Businesses 3-5 Years Old Workforce Development Montana Ambassador Membership Recruitment Montana Ambassador Out-of-State Chapter Development Other DetailsSelect the top three areas in which you would be most interested to support the work of Montana Ambassadors.* Mentorship Connecting entrepreneurs to relevant markets, opportunities, etc. Marketing and promoting Montana Ambassadors and relevant projects What skills would you most like to offer? Event management and support for Montana Ambassador sponsored events (local and statewide) What skills would you most like to offer? Recruit businesses to Montana What communities or industries do you feel like you’d most successful in doing this for? Sharing and sourcing boots-on-the-ground success stories showcasing everything that makes Montana and its unique communities great What communities do you feel like you’d most successful in doing this for? Working to increase STEAM (Science, Technology, Engineering, Art and Math) in Montana schools Are you interested in particular areas of studies or ages of students? Support, train, and advise on business expansion and retention in Montana Any particular areas/topics Other DetailsWhat additional resources would you be able and willing to provide as a Montana Ambassador?* Providing volunteer time to particular economic development projects or initiatives sponsored by Montana Ambassadors Providing financial support to particular economic development projects or initiatives sponsored by Montana Ambassadors Providing staff resources to particular economic development projects or initiatives sponsored by Montana Ambassadors Providing access to physical space or resources to particular economic development projects or initiatives sponsored by Montana Ambassadors Section Break
