First name
Last name
Email
Phone
Address
Applying For
Coffee Ambassador (Veterans Only)
Tea Champions
Are You A Veteran
Yes
No
Branch of Service
I did not serve
USA
USMC
USN
USAF
USSF
USCG
Military Job/Duty Title (Veterans Only)
Do you belong to any Veteran, military, women’s, professional, or community organizations? Please list the organizations and any leadership roles, if applicable.
Tell us about your cause, business, organization, mission, or community work. What impact are you working to create?
Why do you want to join Shero Coffee Club?
Headshot Photo
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Military Photo (Veterans Only)
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Permission checkbox for Shero to use submitted photos/story if selected
Submit
2027 Shero Coffee Ambassador & Tea Champion Application