Application Form: A Million Possibilities Book Ambassador ProgramEmpowering women to inspire, connect, and create lasting changeThank you for your interest in becoming one of The Possibilities! Please complete the form below to join this transformative movement. Name * First Name Last Name Email * Phone (###) ### #### City * State * Country * Why do you want to join the A Million Possibilities Book Ambassador Program? * Describe a time when you inspired or connected with others through storytelling or action. * How do you plan to use A Pot to Piss In to inspire connection, advocate for change, and empower action in your community? * What groups, organizations, or networks are you part of that could benefit from this program? * Which activities are you most interested in? (Select all that apply) * Hosting book clubs or community discussions. Sharing themes of A Pot to Piss In in shelters or support groups. Advocating for the book in belonging programs or academic spaces. Inspiring others to embrace their stories and create opportunities for transformation. Are you willing to commit to the program’s expectations, including hosting discussions, sharing the book’s message, and fostering community? * Yes No Do you have experience organizing events, facilitating discussions, or leading groups? If yes, please explain. * What resources, if any, do you need to fulfill your role as an ambassador (e.g., training, materials, guidance)? * Agreement * By submitting this application, you acknowledge your commitment to the mission of the A Million Possibilities Book Ambassador Program and agree to actively promote the themes and goals of A Pot to Piss In while fostering community and connection. I agree I do NOT agree How did you hear about us? Option 1 Option 2 We’ll review your submission and contact you with the next steps. Thank you for your interest in joining The Possibilities and helping us make the impossible possible for 1 million women.
