NYMHCA Student Ambassador Action Plan
​Thank you for becoming a NYMHCA Student Ambassador!

Your work as an ambassador will directly benefit NYMHCA's work on behalf of the licensed mental health counselors, students and educators of New York!

Please fill out the form below to tell us of your plans for promoting NYMHCA on your campus.  The Student Ambassador Program Coordinator will contact you shortly after reviewing your plans.
**I will fill out the Student Ambassador Activity Report after each activity or to ask for assistance and advice prior to an activity.  

Your reports will verify your work and will ensure that you receive your free 1- year student membership.
I plan to do the following to encourage membership in NYMHCA on my campus:
Graduate Program Name:
Ambassador Name:
Counseling Department Chair:
I plan to engage in the above activities on:  (dates)
I will use the following resources and materials to accomplish my goals:
Email Address:
Department Chair's Email Address:
I will coordinate efforts with my local NYMHCA chapter of which I am a member.
Yes...I will submit reports.