Lifeline South Coast Ambassador

Lifeline South Coast Ambassador

Please complete the form below to express your interest in becoming an Ambassador for Lifeline South Coast.
Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: 0400 000 000.
Address

Street Address

Street Address Line 2

CityState

Post CodeCountry
Why do you want to become a Lifeline South Coast Ambassador?
What relevant knowledge, skills, and experience would you bring to the role?
Ambassadors need to be able to work with people from diverse backgrounds. What is your experience in doing this?
Are you willing to provide a criminal history check and a Working with Children Check (WWCC)?
How did you hear about the Lifeline South Coast Ambassador program?
Should be Empty: