Apply to become a ROC Ambassador


Using the following form, submit your information. We will review your application and contact you regarding the way forward. If you would prefer, you can download the application and post it to us.


I have read and agree to uphold the values and responsibilities listed in the ROC Ambassadors Role Description.

Signature:
Date:


Personal Details:

Name:
Address:
 
 
Town:
County:
Postcode:
Country:
Telephone:
Mobile:
Email Address:

Referee (Professional or Leader preferably):

RefereeName:
Position:
PostAddress:
Email:
ContactNumber:

Community Involvement:

Church/Organisation:
Website:

Please state what kind of work you are already doing: (500 characters max)


Tell us why you want to be a ROC Ambassador: (500 characters max)


Please submit the form now by clicking the button below:


 ROC+You