BAC Fighter Ambassador Application Form Name *FirstLastMailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Age *18 - 29 years old30 - 49 years old50 - 64 years old65 years and overOccupation: *Professional membership organizations you belong to (i.e. AND, APHA, NEHA, IAFP, other) *Social media identities that you would use to promote food safety education and PFSE content if selected as an ambassador. (include screen name and platform). *QuestionnaireWhy are you interested in becoming an Ambassador? *What would make you a great Ambassador? *What is your favorite thing about the Partnership for Food Safety Education? *What is one thing you would improve about the Partnership for Food Safety Education or its website www.fightbac.org? *What aspects of food and health are you most passionate about? *Which of these Partnership for Food Safety Education leadership activities interest you? *Sharing Fight BAC programs and resources with other health and food safety educatorsGrowing the BAC Fighter NetworkPromoting the next Consumer Food Safety Education ConferenceConducting research to improve food safety programmingBoosting social media presence of Partnership and other BAC FightersSharing personal food safety education experiencesHosting listening sessions for BAC FightersServing on a Partnership committee (e.g. marketing/communications, programming)OtherIf you chose "Other" in the question above, please describe:Choose one characteristic that best describes you: *Knowledge expertBehavior change motivatorRelationship builderThought leaderProduct promoterStorytellerData enthusiastSocial influencerOtherIf you chose "Other" in the question above, please describe:The Partnership for Food Safety Education will not disclose personally identifiable information provided in this form with other individuals or organizations without your permission.MessageSubmit