ANU Sport and Recreation Association - ANU Sport Diversity & Inclusion Ambassador Program 2023

Please read through the ANU Sport Diversity & Inclusion Ambassador document prior to filling in this form.

Name

Are you a member of an ANU Sport club?

YES

NO

If yes, what club?

How are you involved within the ANU community?

Member of an ANU Sport club

Executive of a ANU Sport club

Student

Student Athlete

Staff

What are your pronouns?

Please select the demographic or population group that you wish to be an ambassador for:

LGBTQI+

Culturally and linguistically diverse communities

People with a disability

Do you agree for yourself/clubs images and bio to be on the ANU Sport website?

YES

NO

Do you agree to have your/clubs email to be on the website as a support email?

YES

NO

Do you/club agree to participate in ANU Sport Diversity & Inclusion events where possible?

YES

NO

Do you/ club agree to use the ANU Sport branding guidelines for any uniform that uses any logo other than the standard ANU Sport logo?

YES

NO

Please include a bio about you/clubs commitment to be an ambassador (100-200 words)

Please include any specific dates that you/club may be holding events in this space.

Please include any pictures or logos that your club uses in this space.

I acknowledge that the information provided by me in this application is true and accurate. I understand the ANU Sport reserves the right to amend or terminate your position as a Diversity & Inclusion Ambassador should information provided in this application be false or incorrect. I will also abide by ANU Sports policies throughout the ambassadorship.

Please tick the checkbox below to agree to the acknowledgement and privacy statement.

Acknowledgement and Privacy Statement

ANU Sport Diversity & Inclusion Ambassador Program 2023

Overview