Become a Climate Ambassador - Climate Ambassador

Your Name*
First Last
Your Profile
- Second-level student
- Third-level student
- Teacher/Lecturer
- Community member over 18
Your Address*
Address Line 1 Address Line 2 City/Town County
Your email address
Phone number/School Phone Number*
School/College Name*
If you are applying from a secondary school please indicate your current year:*
Secondary school students are asked to seek permission to participate from a guardian*
- I have received permission from a guardian to participate in the Climate Ambassador programme
Websites/blogs/Instagram/twitter handle (link if applicable):
(Please note that all details on this form will be treated confidentially)

Please complete the sections below
What do you think are the main causes of climate change? (Max 50 words)*
What do you think are the main effects of climate change? (Max 50 words)*
How important is the issue of climate change to you personally, and why? (Max 100 words)*
Do you think climate change is something that is affecting you, your community, and if so, how? (Max 100 words)*
What do you think will be the biggest challenge as a Climate Ambassador? (Max 100 words)*

Why do you think you should be selected to participate in the Climate Ambassador Programme? (Max 100 words)*

What actions can be taken to tackle climate change? (Max 100 words)
Please outline any relevant actions you have undertaken to benefit your local environment (Max 100 words)
Please outline any relevant communications experience, for example, social media, giving presentations, t.v., radio, written articles etc. (Max 100 words)
Please outline any previous/current memberships or affiliations with relevant organisations.

By applying to participate I commit to the following:
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- • To attend one Training Event in January/February 2021
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- • To attend at least one Network Gathering from February-October 2021
*
- • To carry out at least two Climate Actions in 2021 with my local school, campus or community
*
- • To carry out at least two Climate Communications in 2021
*
- • To attend the Climate Ambassador Awards in November 2021
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- I consent to my name and image being used in media associated with the programme
*
- By ticking this box and submitting the form you declare that all information is accurate and truthful.
We will continue to adhere to guideline policies around Covid-19 and we may as a result carry out the training and gathering events virtually. The Climate Action & Climate Communications commitments outlined above may be carried out virtually.