Thank you for expressing your interest in becoming a  2021 Catherine House Community Ambassador.

Please fill out this Application Form to provide the Catherine House Fundraising Team with some further information.



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* 1. Your contact information:

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* 2. Please provide a short bio about yourself, so we can get to know you better:

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* 3. What is your employment status

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* 4. Current occupation/course of study:

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* 5. Name of employer/institution of study:

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* 6. Are you a member of any boards/committees?

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* 7. Why do you want to become a Catherine House Community Ambassador?

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* 8. Please provide a brief summary of your skills/experience/education/qualifications

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* 9. How did you find out about the Catherine House Community Ambassador Program?

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* 10. CONFIRMATION:

I confirm that the information contained in this Application Form is true and correct.

If successful in proceeding in the Catherine House Community Ambassador Program, I understand I may be required to provide two referee names and contact details, and agree to obtain a National Police Check (NPC) before commencing any volunteering work with/or at Catherine House.

A member of the Fundraising Team will be in touch with you shortly to discuss your application and talk through next steps of joining the Catherine House Community Ambassador Program.

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