Full Name:

Business or Organization

Title:

Street Address

City

State

Zipcode

Email Address:

Phone

- -

Length of Employment

Significant Achievements at Work:

Job Responsibilities:

Personal Significant Achievements:

Number of years you've been a Member of the Chamber

Describe how you contribute to the success of your business/organization:

What objectives do you hope to achieve as an Ambassador? Please describe both personal and business goals for joining this organization:

List up to three organizations in which you have been or are currently active and any leadership responsibilities/positions held: Organization From/To Leadership Responsibility

Describe how you feel the Chamber benefits the Cullman area

I have actively participated in the following Cullman Area Chamber of Commerce & Tourism Center events & activity(s). (Please list by year and your type of participation.)

M E M B E R C E N T E R

The Chamber Team

The Chamber team is here to assist you at any time. Please feel free to call or e-mail us with questions, concerns or ideas for improvement.

	Peggy Smith INTERIM PRESIDENT psmith@cullmanchamber.org
	Jackie Moore OPERATIONS & ADMINISTRATION jmoore@cullmanchamber.org

	Wesley Smith ENTREPRENEURSHIP & EDUCATION wsmith@cullmanchamber.org
	Brian Poole BUSINESS DEVELOPMENT & INVESTOR RELATIONS bpoole@cullmanchamber.org
	Brittney Hudson COMMUNITY DEVELOPMENT bhudson@cullmanchamber.org
	Jessup Moore ADMINISTRATIVE ANALYST jessmoore@cullmanchamber.org