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    Ambassador application form

    • Applicant Details
    • Confirm

    Applicant details

    Details for this application

    My commitment to 'walk the talk'

    * I realise that as an Ambassador I will be seen as the public face of Cancer Council SA. I understand that as much as 50% of all cancer can be prevented through positive lifestyle choices. I want to help prevent cancer by ensuring that when I am working as an Ambassador. I model behavioursthat reduce the risk of cancer.

    * I will not smoke

    * I will be Sunsmart (Slip, Slop, Slap, Seek, Slide when UV index is above 3)

    * I will eat a healthy diet (avoiding unhealthy food and drink)

    * I will look for opportunities to live a physically active lifestyle

    * I will limit my alcohol consumption (1-2 standard drinks per day)

    Referees

    Please provide us with the details of a contactable referee

    Disclaimer

    I authorise Cancer Council SA to contact the above referees to collect personal information relevant to this application, concerning my academic background and employment/volunteering history, and to verify any character references I have supplied. I understand the information obtained will be kept confidential. I verify the information contained on this form is correct.

    Privacy collection statement

    Your privacy is as important to Cancer Council SA as it is to you. That's why any personal information you give us will be treated with respect and in strict confidence. Personal information is collected to process donations, issue tax receipts and to send you updates. We may disclose your information to agents, contractors and third parties who provide services to us, and in doing so we take reasonable steps to ensure any information held by our service providers is protected. A full copy of our Privacy Policy is at www.cancersa.org.au/privacy with details about how you can access and correct your personal information and how we handle any privacy complaints. Or call us on 1300 65 65 85 for more details about our commitment to your privacy.


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