D&I -Ambassador Nomination Form

GNSW AMBASSADOR APPLICATION

Positions commencing Feb 2026 - Feb 2027
To apply to be a GNSW Diversity and Inclusion Ambassador, please follow and complete ALL steps below;

Step 1: Fill in if you are applying or nominating someone
Step 2: Fill in applicant/nominee details
Step 3: Fill in applicant/nominee qualifications and experience
Step 4: Fill in the short answer questions (application only)

All applications must be received by Friday 27 January 2026.

Applications will be assessed by a selection panel appointed by GNSW and applicants will be notified of the outcome within one week of the closing date. Those that are not selected for the GNSW Ambassador Program will be placed on a reserve list.

All applicants/nominees must be at least 12 years of age.

Postion Term: 1 year Feb 2026 - Feb 2027

Focus: Diversity and Inclusion - Visability and Network

For more information please contact Natalie Jaques, Participation Manager on njaques@gymnsw.org.au or 02 7261 5011 Ext 141.
Are you nominating or applying?*

NominatingApplying

- Name*
  
  First NameLast Name
- Date of Birth*
- E-mail*
- Gymnastics Club*
- Technical Member ID (If Applicable)
- Who from your club supports your application?*
  
  First NameLast Name
- Supporter's Position E.g. Club Owner, Coach, Regional Supervisor Teacher, etc.)*
- Applicants Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Which D&I Ambassador are you applying for:*
  
  LGBTQI EngagementFirst NationsGymAbilityCultural and Linguistic Diverse (CALD)Older Adults
- Are you willing to make yourself available for key Ambassador projects/events?*
  
  YesNo

- Why do you want to be involved in the Ambassador Program? *
- What are some resources you would like to suggest gets developed in gymnastics for 2026?*
- What type of events/programs would you like deliver in 2026?*
- Informed Consent and Acknowledgement
  
  To be completed by applicants over the age of 18. For participants under the age of 18 there will be parent consent and signature required on the next page.
  
  I hereby give my approval and consent for my application to be apart of the Gymnastics NSW Ambassador Program.
  
  I acknowledge that I may be required to attend youth panel projects/events throughout the year and approximately 3 face to face meetings a year.
  
  In case of injury I hereby waive all claims against Gymnastics NSW including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities.
  
  Gymnastics NSW advises that there may be official still and video photographers at all Association events. The association and/or their agents reserve the right to use images from these events in publications and promotions and for sale in DVD, video and still photograph formates. Any objections must be made in writing to Gymnastics NSW.
- Confirmation
  
  BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
- Signature*
  
  Clear

- This section is to be completed by a Parent/Guardian if the applicant is under 18
- Name
  
  First NameLast Name
- Relationship
- Phone Number
  Please enter a valid phone number.
- E-mail
  example@example.com
- Informed Consent and Acknowledgement
  
  I hereby give my approval and consent for my child’s application to be apart of the Gymnastics NSW Ambassador Program.
  
  I acknowledge that my child may be required to attend youth panel projects/events throughout the year and approximately 3 face to face meetings a year.
  
  .In case of injury to said child, I hereby waive all claims against Gymnastics NSW including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities.
  
  Gymnastics NSW advises that there may be official still and video photographers at all Association events. The association and/or their agents reserve the right to use images from these events in publications and promotions and for sale in DVD, video and still photograph formates. Any objections must be made in writing to Gymnastics NSW.
- Confirmation
  
  BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
- Signature
  
  Clear
- Should be Empty:

GNSW AMBASSADOR APPLICATION