Ambassador Application General Information Question Title * 1. Date of Application: Date / Time Date Question Title * 2. Personal Information Name Address City/Town Province Postal Code Email Address Phone Number Question Title * 3. How would your friends and/or colleagues describe your personality? Question Title * 4. Are you fluent in language(s) other then English? Yes No Question Title * 5. If answered yes to question 3, please select from the following drop down menu Language Are you confident presenting in this Language? 1 Mandarin Spanish French Hindi Russian Arabic Portuguese Bengali Malay, Indonesian German Japanese Farsi (Persian) Punjabi Vietnamese Korean Italian Thai Burmese Cantonese Ukrainian Polish 1 Language menu Yes No 1 Are you confident presenting in this Language? menu 2 Mandarin Spanish French Hindi Russian Arabic Portuguese Bengali Malay, Indonesian German Japanese Farsi (Persian) Punjabi Vietnamese Korean Italian Thai Burmese Cantonese Ukrainian Polish 2 Language menu Yes No 2 Are you confident presenting in this Language? menu 3 Mandarin Spanish French Hindi Russian Arabic Portuguese Bengali Malay, Indonesian German Japanese Farsi (Persian) Punjabi Vietnamese Korean Italian Thai Burmese Cantonese Ukrainian Polish 3 Language menu Yes No 3 Are you confident presenting in this Language? menu Other (please specify) Question Title * 6. Are you 18 years of age or older? Yes No Question Title * 7. How did you hear about the Ambassador Program? Current Volunteer with JSSS Regional Safety Committees Current Employer Friend/relative Special event Other (please specify) Question Title * 8. What other clubs or organizations have you volunteered for in the past 5 years? Next
