Move United Warfighters Ambassador Application
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- Introduction and Welcome
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Welcome to the Warfighters Ambassador Program Application
We are excited to have you take this important step in becoming part of our Ambassador team. As a Warfighters Ambassador, you will play a vital role in representing our Warfighter veterans and the Move United Mission. Before you begin, please take a moment to carefully read through each section of the application. It is crucial that you follow all instructions and provide detailed, thoughtful responses. This will help us fully understand your experiences, goals, and how we can best support your application. Incomplete or unclear applications may affect our ability to make decisions, so we encourage you to take your time and submit the most complete and accurate information possible. Thank you for your interest and we look forward in to learning more about you. Please note: This application's estimated time for completion is 10-20 minutes, and includes a photo and video upload. Veterans disbarred from receiving VA benefits are ineligible for this program.
Warfighters Ambassador Program Requirements
All potential Warfighters Ambassadors must have participated in the Move United Warfighters program for at least one year. Once approved as an Ambassador, individuals must maintain Good Standing by meeting the following requirements: 1. A clear background screening, 2. Valid SafeSport training, and 3. A minimum of five annual Ambassador engagements, including at least two training sessions (virtual or in-person) and three community engagements.
Biographical Information
Why are we asking? At Move United, we recognize that there are intersections of identities within the disability community. To fulfill our commitment to providing equitable service to all, we ask that you complete the following questions. The data collected will help us better understand and meet the unique needs of each person we serve.
Full Name
*
First
Last
Branch of Service
*
Please Select
Army
Marine Corps
Navy
Air Force
Coast Guard
Space Force
National Guard
Rank
*
Status
*
Please Select
Active
Retired
Reserves
Date of Birth
*
MM slash DD slash YYYY
Email
*
Cell Phone
*
Home Phone
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
I identify my gender as (select all that apply)
*
Woman
Man
Non-Binary
Transgender
Cisgender
Prefer not to share
Prefer to Self-Describe
Prefer to Self-Describe
My Pronouns are (select all that apply)
*
She/Her/Hers
He/Him/His
They/Them/Theirs
Prefer to Self-Describe
Prefer to Self-Describe
Do you identify as Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and/or Asexual (LGBTQIA+)?
Yes
No
Prefer not to say
I identify my race as (select all that apply)
*
Native American/American Indian/Indigenous or Alaska Native
Asian
Black or African American
Hispanic, Latino/a/e/x or Spanish origin
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
Multiracial
Prefer not to share
Prefer to Self Describe
Prefer to Self-Describe
I identify as being of Hispanic or Latino/a/x/e origin
*
No, I am not of Hispanic, Latino/a/x, or Spanish origin
Yes, I am of Hispanic, Latino/a/x, or Spanish origin
Origin - Please describe
Example: Mexican, Puerto Rican, Cuban, Dominican, Colombian, Spaniard, Ecuadorian, etc.)
Other Information
Are you currently employed?
*
Yes
No
If yes, by who?
What is the highest level of education you have reached?
*
Some High School
High School Diploma or GED
Some College (No Degree)
Associate Degree (e.g., AA, AS)
Bachelor's Degree (e.g., BA, BS)
Some Graduate or Professional School (No Degree)
Master's Degree (e.g., MA, MS, MBA)
Doctorate Degree (e.g., PhD, EdD)
Professional Degree (e.g., MD, JD, DDS, DVM)
Shirt Size
*
X-Small
Small
Medium
Large
Extra Large
2XL
3XL
Please select a size based from a men's/unisex sizing.
OPTIONAL Women's Shirt Size
X-Small
Small
Medium
Large
Extra Large
2XL
3XL
Please select a size based on women's sizing. If available, Move United will offer options in both men's and women's sizes.
Disability Information
Please select all that apply.
Disability Information (select all that apply)
Acquired Brain Injury (Traumatic & Non-Traumatic)
Blind or Low Vision
Deaf or Hard-of-Hearing
Dwarfism or Short Stature
Cognitive/Intellectual or Specific Learning Disability (Including Severe ADD/ADHD, Nonverbal Learning Disability Autism (ASD), Down Syndrome)
Mobility Impairment and/or Limb Loss/Deficiency (Spinal Cord Injury, Spina Bifida, Transverse Myelitis, Amputation, Burns, Joint Injury)
Neuromuscular (Cerebral Palsy, Hemiplegia, Multiple Sclerosis, Muscular Dystrophy, Nerve Damage, Polio, Stroke)
Post-Traumatic Stress as a sole diagnosis
Not Listed
I do not identify as having a disability
Prefer to Self-Describe
Please list any accomondations you may require
*
If not listed or prefer to self-describe, please provide detailed description of disability
*
Cause of Injury
*
Date of Injury
*
Month
Day
Year
Country Where Injury Occurred
*
Are you currently rehabilitating at a hospital?
*
Yes
No
If yes, where?
Military Medals
*
Medal of Honor
Silver Star
Bronze Star
Purple Heart
Meritorious Service Medal
Commendation Medal
Achievement Medal
None
Other
Military Medals Received
Military Discharge Status
*
Honorable Discharge
General Discharge
Other Than Honorable Discharge
Please explain.
Sport Interests
Please list the adaptive sports you are proficient or excel in.
*
Alpine Skiing
Archery
Track and Field
Badmiton
Basketball
Boccia
Cross Country Skiing
Cycling
Equestrian
Football
Judo
Paracanoe
Para Climbing
Para Ice Hockey
Para Powerlifting
Para Snowboarding
Rowing
Sailing
Sitting Volleyball
Swimming
Table Tennis
Taekwondo
Tennis
Triatholon
Wheelchair Fencing
Wheelchair Rugby
Do you have any adaptive sports certifications?
Yes
No
If yes, please list your certifications
If no, are you interested in seeking adaptive sport certifications?
Please share more about your disability, how you were introduced to adaptive sports, why you participate, and what adaptive sports mean to you.
*
Why do you want to serve as a Move United Warfighters Ambassador, and in what ways can Move United assist you in making a positive impact on and give back your community?
*
Please describe your public speaking skills and experience. Have you spoken in front of a large audience (30+ people) before? If so, how large was the audience? If not, would you be willing to speak in front of a large audience in the future?
*
Please list any additional information about yourself that you would like to share:
Reference Request
Please provide the name and contact information of a professional reference who can speak to your qualifications, character, and suitability for the Warfighters Ambassador Program.
Reference Full Name
*
What is your relationship to your reference?
*
Military Service
Work/Professional
Move United
Coach
Sport
Friend
Other
Reference Phone Number
*
Reference Email
*
How did you hear about the Move United Warfighters Ambassador Program?
*
Adaptive Sports Event
Another Move United Warfighters Ambassador
Move United Email Communication
Move United Member Organization
Move United Website
Social Media
Other
Event and location?
Which Warfighters Ambassador referred you to the program?
Which Move United Member Organization referred you to the program?
If other, please describe.
I agree to undergo a background screening and adhere to the Move United Sport Protection Policy. I have read and agree to the Move United Code of Conduct and Warfighters Ambassador Good Standing Requirements. If accepted as a Move United Warfighters Ambassador, I commit to adhering to all Move United rules, policies, procedures, and the Ambassador Good Standing Requirements. I understand that failure to comply may result in disciplinary action, including the immediate termination of my role as an Ambassador.
*
Yes
No
I have registered as a Move United Member. If you have not yet registered, please complete your membership at hub.moveunitedsport.org before proceeding with this application.
*
Yes
No
Please Upload Photo Headshot
*
Please upload a headshot for use in an Ambassador biography. To ensure consistency across all photos, follow these guidelines: 1. No Sunglasses: Avoid wearing sunglasses unless they are a necessary aid, 2. Background: Use a simple, solid-colored background, 3. Lighting: Ensure the area is well-lit with natural or soft lighting, and 4. Framing: Capture a clear, focused shot of your head and shoulders.
Drop files here or
Select files
Max. file size: 64 MB.
Please Upload a One Minute Video of Your Story (MUST BE IN VIDEO FORMAT)
*
Max. file size: 64 MB.
We would love to hear your story. Please upload a 1-minute video introducing yourself, explaining what adaptive sports mean to you, and sharing how Move United has helped you achieve your goals. Be sure to include the following in your video: 1. Your name, 2. What adaptive sports mean to you, and 3. How Move United has supported you in reaching your goals. The video should not exceed 1 minute.
Please upload any relevant media or photos to accompany your application
Optional
Drop files here or
Select files
Max. file size: 64 MB.