Ambassador Forms-Letter Of Agreement

Please indicate that you have read and agree to uphold the following policies by placing your initials within each box:

Ambassador Position Description*

I have read the position description and agree to uphold the role of DONA Ambassador.

Policy & Procedures – Conflict of Interest Policy*

Received

I have read the COI policy and agree to disclose any conflicts of interest to DONA International.*

Policy & Procedures – Conflict of Interest Agreement*

Policy & Procedures – Confidentiality/ Non-Disclosure Agreement*

Policy & Procedures – Correspondence*

Policy & Procedures – Media Policy & Procedures*

Policy & Procedures – Clinical Skills*

Policy & Procedures – Ethics Claims*

Email Confidentiality Statement*

Guidelines for the DONA Regional Display Notice, Board, Set-Up and Take-Down & Return*

Ambassador Calendar of Tasks and Deadlines*

• The 1 st of each month: Submit to the Regional Director your Ambassador report • 2nd Thursday of each month: Attend and participate in monthly Zoom calls with Membership Directors and Regional Directors along with special guest presenter. • Twice a year: Host DONA Member meetings (in-person or via Zoom) • Regularly Provide engagement in social media platforms and regional online groups with members

Agreement In acknowledgement of the position description for Ambassador and the above listed responsibilities and expectations, I agree to serve as the Ambassador for the area of:*

during the two (2) year term of January 1 to December 31, 2019 or the remainder thereof.

Name*

First Last

Consent*

I agree.

Date*

Ambassador Letter of Agreement

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Ambassador Letter of Agreement

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