Resurgence Squad Application

Apply to Become a Resurgence Squad Representative

This short application helps us understand mission fit, readiness, boundaries, and follow-through. Most people can complete it in about 5-8 minutes.

Basic Information

Full name *

Email *

Phone *

City *

State *

Preferred contact method *

Are you 18 or older? *

Mission Fit

What draws you to the Resurgence Squad? *

A few sentences is enough.

Which parts of the mission connect with you most? *

What type of communities would you feel comfortable reaching? *

Experience

What kind of experience do you bring? *

Briefly describe any relevant experience or connections.

Readiness

This role requires consistency, communication, and healthy boundaries. Are you currently in a season where you can reliably represent a public-facing recovery-centered mission? *

What helps you stay accountable and follow through? *

Calendar/reminders Regular check-ins Clear goals Team support Written expectations Personal recovery/support system Faith/community support Structure and deadlines Other

How many hours per week could you realistically commit? *

Are you comfortable tracking outreach, leads, orders, and follow-up activity in a simple dashboard or form? *

Boundaries

Do you understand that Resurgifi is not therapy, medical care, crisis care, sponsorship, or a replacement for treatment? * Are you willing to use approved Resurgifi language and avoid making clinical claims or promises about outcomes? *

If someone seemed unsafe, suicidal, intoxicated, or in crisis, what would you do? *

Contact emergency services if immediate danger is present Encourage them to contact a trusted support/person/provider Direct them to appropriate crisis or clinical resources Notify Resurgence Labs if the situation involves representative activity Try to counsel them myself I am not sure

Optional: explain your answer.

Paid Representative Role

This is a paid, commission-based representative role built around mission-driven outreach and approved Resurgifi opportunities.

Do you understand that this is a paid, commission-based representative role built around mission-driven outreach and approved Resurgifi opportunities? *

Which representative activities interest you most? *

Individual book orders Group orders Program introductions Facility/community outreach Events or tabling Online promotion Sample copy placement Follow-up with interested contacts Other

Final Fit

What makes you someone we should trust to carry the Resurgence Squad name? *

A few honest sentences is enough.

Is there anything else we should know?

Agreement

I understand submitting this application does not guarantee selection. I understand representatives are selected based on mission fit, readiness, trust, boundaries, communication, and follow-through. I understand Resurgifi is not therapy, medical care, crisis care, or a replacement for treatment. I agree not to make clinical claims or promises about outcomes. I understand this is a paid, commission-based representative role and accepted representatives must agree to compensation terms before active outreach begins.