WEMBACK Ambassador Circle

Thank you for your interest in becoming a WEMBACK™ Ambassador. Ambassadors help carry our family legacy forward by sharing the WEMBACK™ story, supporting the scholarship, and uplifting Black learners. This is a volunteer role – no financial contribution is required.

SECTION 1 – Basic Info

First Name

Last Name

Phone/Mobile

How are you connected to the WEMBACK™ family?

I am a family member (by birth)

I am family by marriage/relationship

I am a close family friend

Other (please describe

SECTION 2 – Ambassador Interest

Why do you want to join the WEMBACK™ Ambassador Circle?

Which Ambassador roles are you interested in? (Select all that apply)

Storyteller – Share the WEMBACK™ story and legacy.

Recruiter – Tell students, families, and schools about the scholarship.

Selector – Help review scholarship applications.

Promoter – Post or share WEMBACK™ content on social media or in your network.

Family Representative – Show up (in person or virtually) for WEMBACK events or photos.

Other way I’d like to help (describe below).

If “Other,” please describe your connection.

SECTION 3 – Skills & Comfort

Are you comfortable sharing at least one WEMBACK™ post per year (email, text, or social media)?

Yes

Maybe, if I get sample wording

What skills or experience would you like to bring to WEMBACK™? (Examples: organizing, mentoring, writing, speaking, tech, education, networking.)

SECTION 4 – Communication & Commitment

How would you prefer to receive Ambassador updates?

Text message

Phone call

Group chat (family thread)

How involved would you like to be?

Light: 1–2 activities per year

Moderate: a few activities a year

High: I’d like to help with planning and decisions

SECTION 5 – Ambassador Agreement

Ambassador Commitment Statement – I understand that being a WEMBACK™ Ambassador is a volunteer role. I agree to represent the WEMBACK™ Scholarship Fund and our family legacy in a positive way, and to support Black learners with integrity and respect.

I agree

Electronic Signature (Type your full name)

Today’s Date

The WEMBACK Ambassador Circle Sign-Up