Page 1/4

---

Applicant Info

First Name *

Last Name *

Email address *

Phone Number *

Date of Birth *

Gender *

Enter required value Male Female

Employer Information

Employer *

Employer Address *

Employer Phone Number *

Page 2/4

---

Questionnairre

Why do you want to be a Blue Coat Ambassador? *

<-- Check this box if you have previously applied to be a Blue Coat.

Length of residency in New Braunfels (in years)? *

Select the Chamber Committees for which you have been involved for a year or more. *

Business Education Partnership

Military Affairs

Retirees

Hispanic Business Alliance

Women's Business Alliance

Business Advisory

Business Expo (previously Business Showcase)

Small Business Week

Government Affairs

Natural Resources

Transportation

Leadership Steering

Leadership Alumni

Select the committees for which you have served as Chair or Vice Chair, if any.

Business Education Partnership

Military Affairs

Retirees

Hispanic Business Alliance

Women's Business Alliance

Business Advisory

Business Expo (Business Showcase)

Small Business Week

Government Affairs

Natural Resources

Transportation

Leadership Steering

Leadership Alumni

Have you or are you currently engaged in community organizations?

Page 3/4

---

Community Involvement

Community Organization No. 1

Community Organization No. 1 - Position

Community Organization No. 1 - Responsibilities

Community Organization No. 2

Community Organization No. 2 - Position

Community Organization No. 2 - Responsibilities

Community Organization No. 3

Community Organization No. 3 - Position

Community Organization No. 3 - Responsibilities

What do you consider to be your most important accomplishment in the organizations listed, and why?

How many hours per month are committed to volunteerism? *

What other community boards, committees, or groups would you like to engage with in the future? *

Page 4/4

---

References

Reference No. 1 - Name *

Reference No., 1 - Business Name *

Reference No. 1 - Email *

Reference No. 1 - Phone Number *

Reference No. 2 - Name *

Reference No. 2 - Business Name *

Reference No. 2 - Email

Reference No. 2 - Phone Number *