Ambassador Registration Form


Click here to download the EnergySmart Guidelines
Click here to download the Liability Waiver and Photo Release Form

Note: A waiver form duly signed by a parent (if participant is under 19) must be brought at the session to qualify to participate in the session.




Red asterisk (*) indicates required sections
1. Tell us about yourself *
First Name:
Last Name:
Address:
City:
Telephone:
Email:
Preferred way of communication:
 Phone Email
School:


2 .Please indicate the day(s) and time(s) that you are available to attend general meetings (Note: meetings are NOT weekly but incremental and the times indicated below are for availability purposes.) *
Thursdays between 5:30 PM and 8:30 PM
Saturdays between 10:30 AM and 1:30 PM
Other, please specify


3. Have you volunteered before? *
Yes No


4. Please let us know who we should contact on your behalf in times of emergency:*
Name:
Telephone:


5. Terms and Conditions:*
I understand and agree to the EnergySmart Guidelines
I have read and understood the Waiver and photo release conditions. I affirm my approval on that
I certify that the facts set forth above are true and complete to the best of my knowledge.
I understand that in accepting a volunteer placement, I agree to keep a commitment, act in a responsible manner as a representative of Community Environment Alliance (CEA) and treat all internal matters of CEA as strictly confidential.

Privacy Policy: Community Environment Alliance (CEA) is committed to protecting your personal information. Your privacy is important to us. Our Privacy Policy is based on fair information practices set forth in Canada's Protection of Personal Information and Electronic Documents Act. CEA collects personal information solely to provide you with services you have requested for. Personal information you supply is not disclosed to anyone except for CEA’s employees who need the information to provide you with the indicated service. CEA does not sell, trade, or exchange your personal information with third parties. We will not pass on any of your personal information to other organizations without your consent.

Code of Practice: CEA strictly adheres to Canadian Volunteer Code of Involvement. In the interest of protecting our volunteers we reserve the right to do reference checks for volunteer recruitment and screening.