AMBASSADOR APPLICATION FORM
YES TO GENDER EQUALITY MOVEMENT (YGEM)
Email *
Personal/ Contact Details
Name *
Address
Phone Number *
Email Address *
Preferred method of contact
Clear selection
Current occupation/ study *
Job/study duration *
Emergency contact details
Please give us the details of who to contact in case of emergency. Details should contain Name of the person, relationship to you and phone number.
Date of Birth *
MM
/
DD
/
YYYY
Gender
Clear selection
Language spoken at home? *
Highest education qualification achieved? *
Experience and qualifications
Please provide experience relevant to this role.
Please tick any of these skill areas if they relate to you * *
Required
Please elaborate on these experiences in the space below *
Describe yourself *
Tell us about your weaknesses and strengths
Tell us your personal skills *
Languages spoken
Other voluntary work
Hobbies / Interests *
Why are you interested in becoming YGEM ambassador? *
Please indicate your availabilities in the space below *
Where did you hear about this program?
Privacy statement:
The personal information on this form is being collected for the purposes of recruiting and selecting ambassadors wishing to work with YGEM. The information may also be required for evaluation purposes. Any evaluation reports developed will not identify individual volunteers by name. This information may be shared with Our Program partner organizations and funding bodies.
Please tick if you would like to receive regular newsletters regarding YGEM Programs.
Clear selection
By signing this form I attest that the information supplied is true and accurate. I understand that submitting this application form does not automatically register me a YGEM ambassador but that there is a selection process. I confirm that I am willing to volunteer for at least a six month period and to attend YGEM events as often as I can.
*
Signature *
Kindly write your name and date.
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