DSP Ambassador Program Application

Thank you for your interest in applying for the DSP Ambassador Program. Please use the form below to submit your application. If you have any questions about the program or how to apply, please email Sean Luechtefeld.

<< Return to Program Description

Name(Required)

First Last

Pronouns

Email Address(Required)

Title(Required)

Organization(Required)

Work Address(Required)

Address Line 1 Address Line 2 City State ZIP Code

Home Address(Required)

This will only be used for the purposes of matching you with your elected officials.

Address Line 1 Address Line 2 City State ZIP Code

Letter of Support(Required)

Please upload a letter of support from your employer's CEO/Executive Director (or their designee) no longer than one page in length indicating institutional support for your participation in the DSP Ambassador program.

Accepted file types: pdf, docx, Max. file size: 50 MB.