2025 Ambassador Application Form

Ambassador Application Form

Complete this form to apply for a Children's Rights Queensland Ambassador role in 2025.
Please note, we are currently prioritising applications in regional and remote areas of Queensland. Applications for a role in South East Queensland may be placed on a waitlist.

Priority areas for 2025 include:

• Cairns to Cape York
• Townsville
• Whitsunday Coast (Bowen, Proserpine, Mackay)
• Rockhampton & Gladstone
• Mt Isa and surrounds
• Longreach and surrounds
• Toowoomba and Darling Downs
Personal Details
Name*

First NameLast Name
Email address*
example@example.com
Phone Number*
Please enter a valid phone number.
Gender*
Best Postal Address (this is where we will post resources to)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you identify as:*

AboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderNone of the abovePrefer not to say

Referees

Please include the details of two referees that could be contacted during the selection process.
Referee 1 Name*

First NameLast Name
Referee 1 Phone Number*
Please enter a valid phone number.
Referee 1 Email*
example@example.com
Referee 2 Name*

First NameLast Name
Referee 2 Phone Number*
Please enter a valid phone number.
Referee 2 Email*
example@example.com

Declaration
If my application is successful, I agree to comply with the Ambassador Code of Conduct and I agree to the organisation Privacy Policy available on the CRQ website. I understand that part of my role as an Ambassador is to provide CRQ with an end-of-year summary detailing the CRQ related initiatives and activities I have participated in. I will also have to sign an Ambassador Agreement.*

I agree
Click here to view the Ambassador Code of Conduct
Signature*

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Ambassador Application Form