Parent Ambassador Application 2023 Application for the recruitment cycle for the 2023-2025 PA Program. The Parent Ambassador (PA) program will provide an opportunity for parents to volunteer by being advocates and representing the Nurse-Family Partnership (NFP) across the country. The PA program will amplify the voices of NFP moms by equipping them with the training and support needed to be leaders in their community and advocate on behalf of NFP families. Parent Ambassadors will get the chance to participate in advocacy efforts in Washington, DC, state capitols, and other regional areas. PAs will help increase the visibility of NFP, share their NFP experiences and success stories through various avenues, and engage and educate communities, stakeholders, and elected officials. If you would like to be considered as a Nurse-Family Partnership Parent Ambassador, please tell us more about yourself in the application below. Applications will be accepted until Friday, June 9th, 2023. Name* First Last Email* Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Are you 21 years of age or older?* Yes No NFP Nurse(s) Name* Local NFP Agency Name* (ex: Texas Tech NFP, Health Department NFP)Location of NFP Agency* City, StateNFP Graduation Date* MM slash DD slash YYYY Choose when your child turned 2 years old.Please answer the following questions below. All responses should be limited to 250 words or less. In your own words, tell us your NFP story – How did you first hear about NFP? What was going on in your life when you first entered the program? How did the program help you and your family?*Why do you think it is important for Congress, local decision-makers, and the general public to know about Nurse-Family Partnership?*Why do you want to be a Nurse-Family Partnership Parent Ambassador?*Are you involved in any community-related work including and not limited to social awareness events, booster clubs or any other volunteer work? If yes, please describe below.*What do you hope to learn from participating in the Parent Ambassador Program?*With advance notice, are you willing to travel to various locations, such as Denver, CO and Washington, D.C., for 2-3 days at a time? Solo travel is preferred. If no, please explain.*If you have questions about the program, ask them here!OPTIONAL: Attach your resume below. ResuméAccepted file types: doc, docx, pdf, Max. file size: 64 MB.Please upload a Word or PDF document of your resume.For questions or more information about the Parent Ambassador Program please contact Ashlei Watson at 806-672-6370 or email ashlei.watson@nursefamilypartnership.org Δ