Event Report

Ambassador Post-Event Report

Please complete and submit the form below.

"*" indicates required fields

Today's Date*

Ambassador Name*

Enter the name of ambassador who’s completing the form

First Last

Ambassador Email*

Does the chapter have a associate Ambassadors?*

Yes

2nd Ambassador Name*

First Last

2nd Ambassador Email*

3rd Ambassador Name

First Last

3rd Ambassador Email

Chapter City, State*

For the virtual chapter, type the word “virtual” for City and select “FL” for state.

City State

Event Details

Event Date*

Event Theme*

Please select below

If other, please indicate event type below*

Venue Name*

Please enter the name of the event venue below.

Event Report*

Remember, associate Divas are ALL non-paid members including doctors, students & residents.

Total # who registered

Total # in Attendance

# Who cancelled or No-Show

Did we reach our goals?*

Did we reach all our goals for this event? If not, which of the goals were reached? What contributed most to the success of this event (reaching the goals)? (please list them) How was the Event goals – Did you Delivered a world-class experience for our members & vendors, gave 1-3 tips for personal or leadership development, provided CE education, had 15 or more in attendance, and 2 exhibitors.

Event Challenges*

What are some of the challenges that made it difficult to reach the event goals?

On a scale of 1-10, where 1 is none and 10 is extreme. What was your stress level during this event?*

Please enter a number from 1 to 10.

What caused you the most stress?*

If you entered 1 in the question above, you can enter N/A in the field below.

Event Improvement*

In your opinion(s), what can we do to improve this event in the future? What can we do to create a better experience for you, our members and vendors?

Did you handle CE Credit Logistics?*

No, CE was handled by HQ.

Yes, we handled the CE.

The Vendor Exhibitor Handled The CE.

If you or the vendor exhibitor handled the CE Logistics, please complete the following:*

Course Name

Is this course COPE approved?

Course Number

Date Credits Submitted

Sponsorship Information

Please complete the following:

Exhibitor Company Name

Representative Name

Sponsorship Level

Event Expenses and Reimbursement

Who paid for the meals and beverages?*

Vendor Sponsored

Optometry Divas

Other

Meals and Beverage Amount*

If Optometry Divas paid for the meals and beverages, please enter the total meals & beverages amount below. If we paid a separate venue rental fee, please include it to the meals and beverages total.

Event Decoration & Supplies Expenses*

Optometry Divas reimburses up to $125 total for all event decoration/supplies expenses incurred by both chapter ambassadors. You must have prior approval to claim expenses above $125. Please enter the total amount for event decoration/supplies expenses incurred by ambassador who’s completing the form below. If none, please enter the number 0 below.

Event Decoration & Supplies Event Coordinator Expenses*

Other Expenses*

Please enter any additional expenses here. All additional expenses must get prior approval. If none, please enter the number 0 below.

Other Expenses for Partner*

Please enter any additional expenses here. All additional expenses must get prior approval. If none, please enter the number 0 below.

What is the best method to send the reimbursement amount?*

Zelle

PayPal

What is the best method to send the partner reimbursement amount?*

Zelle

PayPal

Phone Number to use for Zelle*

Partner Phone Number to use for Zelle*

Email to use for PayPal*

Same as above

Other

Partner Email to use for PayPal*

Same as above

Other

Sign-in Sheet with Signatures

Please upload the following documents: – The image of the sign-in sheet for our records. If you’re not able to upload files, email them to [email protected]

Drop files here or

Max. file size: 64 MB.

Restaurant Receipt

Please upload the following documents: -The restaurant receipts (If there was a meals/beverage amount). If you’re not able to upload files, email them to [email protected]

Drop files here or

Max. file size: 64 MB.

Supplies & Decorations Receipt(s)

Please upload the following documents: -The receipts for your supplies and decoration purchases. If you’re not able to upload files, email them to [email protected]

Drop files here or

Max. file size: 64 MB.

Consent*

Ambassador agreement

# Optometry Divas Ambassador Agreement

This Optometry Divas Ambassador Agreement (“Agreement”) is made effective as of the above date, by and between Optometry Divas, LLC (“Divas”) and the individual above, Optometry Divas Ambassador (“Ambassador”).

## **I. DESCRIPTION OF SERVICES**

Beginning on the effective date of this Agreement, Ambassador will provide the following services (collectively, the “Services”):

A. Empower, connect with, and promote the success of Optometry Divas members in your community.
B. Plan and facilitate Optometry Divas meetings, including:
– Securing a venue for each meeting.
– Securing vendor sponsors for meetings.
– Promoting meetings using email and social media.
– Implementing meeting agendas according to required meeting standard operating procedures (SOP).
– Submitting meeting reports after each meeting is completed.
C. Recruit new members and re-engage inactive members.
D. Maintain relationships with active members.

## **II. REIMBURSEMENT FOR EVENT EXPENSES**

Divas will reimburse Ambassador for **approved expenses** incurred for the execution of local events, sponsorships, and meetings. **All expenses must be pre-approved in writing** by Divas before reimbursement is processed.

A. Eligible expenses include venue rental fees, event supplies, and any pre-approved costs directly associated with hosting the event.
B. Ambassador must submit a **detailed expense report with receipts** within 14 days after the event for reimbursement processing.
C. No other fees and/or expenses will be reimbursed unless pre-approved by Divas.
D. Reimbursements will be processed within **30 days of approval** from Divas HQ.
E. Ambassador will be responsible for any and all federal, state, and local taxes applicable to their earnings from Optometry Divas.

## **III. TERM/TERMINATION**

This Agreement may be terminated by either party upon thirty (30) business days’ written notice to the non-terminating party.

A regular, ongoing relationship of indefinite term is not contemplated. Ambassador has no right to assign services to any third-party unless specifically contemplated by this Agreement or agreed to in writing by Divas and Ambassador. However, the parties may mutually agree that Ambassador will perform other services to Divas, pursuant to the terms of this Agreement, or by amendment, agreed to in writing, to this Agreement.

## **IV. RELATIONSHIP OF PARTIES**

It is understood by the parties that Ambassador is a **volunteer** with respect to Divas and is not an employee of Divas.

A. Ambassador is not entitled to wages, employee benefits, unemployment insurance, workers’ compensation, or any other benefits provided to Divas employees.
B. Ambassador understands that participation in this role is voluntary and can be terminated by either party at any time with proper notice.
C. Ambassador agrees to uphold the mission and values of Optometry Divas while representing the organization.
D. It is contemplated that the relationship between Ambassador and Divas shall be a non-exclusive one. Ambassador may perform services for other organizations and/or individuals. Divas has no right to further inquire into Ambassador’s other activities.

## **V. RESTRICTIONS RELATED TO STATEMENTS OR CLAIMS**

Ambassador is required to share the goals and efforts of Divas. However, Ambassador is strictly prohibited from making any claim, statement, or recommendation on behalf of Divas without prior written authorization.

Ambassador is required to be transparent with any prospective member of Divas. This includes, but is not limited to, Ambassador’s honest opinion of Divas, its focus, and any personal experience that Ambassador wishes to share with a prospective member.

Ambassador is required to tag (@OptometryDivas) on any social media posts about Divas. Divas reserves the right to remove any posts from any social media account used by Ambassador as it pertains to Divas.

Divas reserves the right to terminate this Agreement and pursue legal claims should Ambassador make any false or misleading claims.

## **VI. RESERVED RIGHTS BY DIVAS**

Divas reserves the following rights, and Ambassador agrees:
A. The right to not accept any individual into the Ambassador program based on background checks of social, personal, or professional media history.
B. The right to delete or hide any posts or statements made on any Divas social media channels.
C. The right, at Divas’ sole discretion, to monitor Ambassador’s activities to ensure compliance with this Agreement.

## **VII. DISQUALIFICATION AS AN AMBASSADOR**

An Ambassador may be disqualified if they:
A. Promote violence or discord.
B. Promote discrimination based on race, sex, religion, nationality, disability, sexual orientation, or age.
C. Promote illegal or questionable activities.
D. Violate intellectual property rights of Divas.
E. Violate Divas’ mission and vision.
F. Fail to meet the minimum required number of events per year.

If an Ambassador does not meet the minimum event requirement, they will **lose all ambassador benefits** and may be removed from the program.

Ambassador is required at all times to comply with all federal, state, and local laws.

## **VIII. CONFIDENTIALITY**

Ambassador may have access to proprietary, private, and/or otherwise confidential information (“Confidential Information”) of Divas. Ambassador agrees to:
A. Keep all Confidential Information strictly confidential and not use it for personal gain.
B. Not disclose any Confidential Information to third parties.
C. Return all Confidential Information upon termination of this Agreement.

## **IX. INDEMNIFICATION**

Ambassador agrees to indemnify and hold harmless Divas from all claims, losses, expenses, including attorney fees, costs, and judgments that may arise from the acts or omissions of Ambassador.

## **X. EVALUATIONS**

Ambassador performance will be evaluated annually based on:
A. Meeting attendance.
B. Membership growth.
C. Sponsorship acquisition.

Failure to meet expectations may result in termination of this Agreement.

## **XI. NO RIGHT TO ACT AS AGENT**

An “employer-employee” or “principal-agent” relationship is not created merely because:
A. Divas has or retains the right to supervise or inspect the work as it progresses.
B. Divas has or retains the right to stop work done improperly.

## **XII. ENTIRE AGREEMENT**

This Agreement constitutes the entire contract between the parties. No modifications shall be effective unless in writing and signed by both parties.

## **XIII. APPLICABLE LAW**

This Agreement shall be governed by the laws of the State of Florida.

### **SIGNATURE PAGE:**

This Agreement shall be signed by both parties and is effective from the date of form submission.

Ambassador Post-Event Report

Event Details

Sponsorship Information

Event Expenses and Reimbursement

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