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Ambassadorship Nomination Form

Since 1976, Junior Chamber International (JCI) chapters in every state have recognized their finest members by presenting them with the prestigious Ambassador honor. This life-long honor recognized those who have served JCI USA and their community with highest distinction and greatest contribution. Recognize that special Jaycee for their outstanding service, involvement, and commitment by nominating them as an Ambassador - the highest honor bestowed on a Jaycee in the United States.

Your Name(Required)

Ambassador Honoree Information

Name(Required)
Address(Required)
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Before receiving an Ambassadorship, the individual must be an active member of JCI USA for at least three years. Check the box below to certify:(Required)

Presentation Information

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Please send nominations no later than four weeks before the award needed date. If honor is to be sent to anyone other than the nominee, please provide the information below:
Name
Address

Approvals

After submitting this form, a copy will be sent to the honoree's Chapter President & State President for approval, followed by the JCI USA National President & Executive Director.
If the Ambassador honoree is the current President of either of these roles, do not list them in the section below. Instead, submit the name & email of the next senior officer, so that they may sign off on the application.
Name: Local Chapter/Organization President(Required)
Name: State President(Required)

Payment Options

For expedited processing, we recommend sending this form and payment electronically.
To pay the ambassador application payment and submit application, please click below.
Make a Payment
Max. file size: 128 MB.
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