Ambassador Program PDF
Preview Ambassador Program
Ambassador Program American Cancer Society Cancer Action Network California Volunteer Legislative Ambassador Program 2013 Overview & Application Please return completed application to: American Cancer Society Cancer Action Network ATTN: Legislative Ambassador Application 980 9th Street, Suite 2200 Sacramento, CA 95814-2742 916.448.0500 • fax: 916.447.6931 Make a Difference Being an American Cancer Society Cancer Action Network (ACS CAN) California Volunteer Legislative Ambassador will require time and energy, but it can be an incredibly rewarding experience. We have all been touched by cancer. In 2013, nearly 144,800 Californians will be diagnosed with cancer and nearly 55,485 will die of the disease. You can make a tremendous difference by becoming a Legislative Ambassador and demanding that your elected representatives get involved in the fight against cancer by: • Increasing funding for cancer research and prevention • Increasing tobacco regulation and taxation • Supporting patient navigator programs for underserved communities • Supporting cancer‑fighting programs Volunteer Legislative Ambassador Description A volunteer Legislative Ambassador is an American Cancer Society Cancer Action Network volunteer that works with, and provides support to, legislative advocacy staff and leadership as well as providing support for local, state and federal advocacy activities in California. Volunteer Legislative Ambassadors play an integral part in helping the American Cancer Society Cancer Action Network's goal to make cancer a top national priority with elected officials. Responsibilities • Responding to and sharing American Cancer Society Cancer Action Network Action Alerts • Recruiting new Legislative Ambassadors and/or new American Cancer Society Cancer Action Network members • Participating in ambassador trainings and conference calls when possible • Attending several American Cancer Society Cancer Action Network and/or American Cancer Society events per year to showcase advocacy accomplishments, recruit advocates, and to engage the public in our local advocacy efforts • Participating in at least one legislative visit per year • Sending a letter of introduction to your elected officials • Sending letters to the editor and op‑ed (opinion pieces) to local media as needed • Showcase advocacy accomplishments, recruit advocates, and engage the public in our local advocacy activities at external events whenever possible No legislative advocacy experience needed! American Cancer Society Cancer Action Network 2013 California Volunteer Legislative Ambassador Program Application PersonAL InformAtIon (PLeAse PrInt) FirST & LAST NAme emPLoyer Job TiTLe Home/PHySiCAL AddreSS CiTy STATe ZiP PreFerred PHoNe CeLL PHoNe dAy PHoNe eveNiNg PHoNe emAiL FAx Note: An email address is required to receive the most current communications and action alerts as the material is usually time sensitive. i Am uNder 18 yeArS oF Age i give PermiSSioN For my CHiLd To APPLy To beCome A CALiForNiA voLuNTeer LegiSLATive AmbASSAdor. PAreNT/guArdiAN SigNATure THe FoLLowiNg iS voLuNTAry ANd uSed For STATiSTiCAL PurPoSeS oNLy. CHeCk ALL THAT APPLy To you: AFriCAN AmeriCAN ASiAN/PACiFiC iSLANder CAuCASiAN HiSPANiC NATive AmeriCAN LgbT oTHer CAnCer reLAted exPerIenCe CAregiver HeALTH ProFeSSioNAL FAmiLy/FrieNd TouCHed by CANCer Survivor: CANCer TyPe VoLunteer exPerIenCe LeNgTH oF ASSoCiATioN wiTH THe AmeriCAN CANCer SoCieTy wHiCH oF THeSe AmeriCAN CANCer SoCieTy ACTiviTieS HAve you beeN iNvoLved iN (iF APPLiCAbLe)? PATieNT SuPPorT ProgrAmS (reACH To reCovery, roAd To reCovery, eTC.) mAkiNg STrideS AgAiNST breAST CANCer reLAy For LiFe FuNdrAiSiNg (dAFFodiL dAyS, gALAS/bALLS, goLF, eTC.) CoLLegeS AgAiNST CANCer oTHer PLeASe LiST ANy oTHer CommuNiTy orgANiZATioNS you beLoNg To or PArTiCiPATe: Application Page 1 of 2 Please return completed application to: American Cancer Society Cancer Action Network ATTN: Legislative Ambassador Application 980 9th Street, Suite 2200, Sacramento, CA 95814‑2742 916.448.0500 • fax: 916.447.6931 LegIsLAtIVe exPerIenCe LegiSLATive exPerieNCe iS NoT NeCeSSAry To beCome A LegiSLATive AmbASSAdor buT iF you HAve ANy Prior LegiSLATive exPerieNCe, PLeASe SHAre beLow. do you HAve A reLATioNSHiP wiTH ANy FederAL, STATe or LoCAL eLeCTed oFFiCiALS? iF yeS, PLeASe LiST wiTH wHom ANd deSCribe your reLATioNSHiP: Are you Now or HAve you ever beeN AN eLeCTed oFFiCiAL? iF yeS, PLeASe exPLAiN. wHiCH oF THeSe AmeriCAN CANCer SoCieTy CANCer ACTioN NeTwork ACTiviTieS HAve you beeN iNvoLved iN? CALiForNiA STATe LegiSLATive dAy oTHer AdvoCACy ACTiviTieS mediA AdvoCACy SPokeSPerSoN meeTiNg wiTH AN eLeCTed oFFiCiAL referenCes PLeASe LiST AT LeAST Two AmeriCAN CANCer SoCieTy/AmeriCAN CANCer SoCieTy CANCer ACTioN NeTwork STAFF ANd/or voLuNTeerS wiTH wHom you HAve worked. NAme PHoNe/emAiL NAme PHoNe/emAiL NAme PHoNe/emAiL CALIfornIA AmbAssAdor Agreement i Agree To beCome A CALiForNiA voLuNTeer LegiSLATive AmbASSAdor For THe AmeriCAN CANCer SoCieTy CANCer ACTioN NeTwork ANd wiLL FuLFiLL THe required voLuNTeer reSPoNSibiLiTieS AS ouTLiNed iN THe ATTACHed LegiSLATive AmbASSAdor deSCriPTioN. i uNderSTANd THAT i mAy wiTHdrAw my PArTiCiPATioN AT ANy Time AS A LegiSLATive AmbASSAdor by CoNTACTiNg THe ACS CAN CALiForNiA oFFiCe. SigNATure dATe: we CAre AbouT your PrivACy ANd ProTeCT How your iNFormATioN iS uSed. To view our ComPLeTe PrivACy PoLiCy, or iF you HAve ANy queSTioNS, PLeASe viSiT ACSCAN.org. Application Page 2 of 2 California Volunteer Legislative Ambassador Structure Flowchart State Lead Ambassador ACT! Lead Ambassador(s) California Volunteer Legislative Ambassador Duties & Expectations • Participate on Quarterly Conference Calls (or listen to replay) • Respond to Ambassador electronic communications including surveys • Respond to Action Alerts • Participate in the California New Ambassador Orientation Call • Write a letter of introduction to each of your elected officials (local, state, and federal) and send a copy to the American Cancer Society Cancer Action network California Office • Work with Ambassador Constituent Team! (ACT!) to ensure advocacy coverage at internal and external events to showcase advocacy • Work with local media including writing letters to the editor • Network and build relationships to help make cancer a top national priority • Recruit Ambassadors & ACS CAN members • Participate in local advocacy efforts (i.e. city/county ordinances, etc.) • Become an ACS CAN member if possible • Communicate regularly with ACT! Team • Be a good representative of the American Cancer Society Cancer Action Network Volunteer Legislative Ambassador Program California Volunteer Legislative Ambassador Communications Flowchart You Have Questions? We Have Answers! Am bassad or(s) ACT! Lead ACT! Lead State Lead Ambassador State Lead Am bassa dor State Staff Partner California Volunteer Legislative Ambassador Staff Structure Grassroots Advocacy & Ann Gouré or JR Fujita Ambassador Program Local Advocacy Tim Gibbs – Great Valley City & County Ordinances Cassie Ray – Greater Bay, Redwood, Silicon North Spencer Lyons – Silicon South, Los Angeles Maggie Acuña – Orange, San Bernardino County Lynda Barbour – Border Sierra State Advocacy Alison Ramey Bills & Legislation Federal Advocacy Kevin Keane Bills & Legislation Media Advocacy Ann Gouré or Alison Ramey
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