Registration for Sanctuary Ambassador

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This form is to register yourself as a Sanctuary Ambassador for City of Sanctuary to tell us what you would like to offer and to ask us for training and so that we can contact you to ask for help. It does not commit you to anything because we will contact you to discuss options. You will have the chance to fully discuss each and every request and it is fine to say no for any reason.
If you have any questions about the form please email our Communications Manager Colleen Molloy

Contact and general Information

First Name *

Last Name

Email *

Phone Number

City *

Region *

Country of Origin / Home Country

What is your work or career background?

eg farmer, driver, teacher, doctor, musician etc...

Gender

1. Are you involved in your local City of Sanctuary group *

Yes

2. Will you be interested to join a sanctuary appraisal** team in your local area or possibly nationally to assess an application submitted for a Sanctuary Award eg Schools of Sanctuary Award

Yes

**A Sanctuary Appraisal team is a team of at least three people who assess an application submitted by an organisation eg art group, sports, school or university applying for a Sanctuary Award. There are specific criteria for applicants to follow.

3. Are you happy and interested to share your life experiences in the UK at public meetings to help inspire and change people’s attitudes on asylum issues?

Yes

4. Are you happy to talk and or be interviewed by the media (including for social media purposes), either local or national media?

Yes

5. Do you agree for City of Sanctuary to use your photo for publicity purposes in newsletter/ website and newspaper?

Yes

6. Are you happy to have your photo taken?

Yes

7. Would you like to write blogs / articles for the City of Sanctuary website?

Yes

8. Would you like to be participate in creating films to support City of Sanctuary, including the Sanctuary Stories Online project?

Yes

If yes, give a very brief example (eg involved in sports or speak at events) and mention the area (eg in Leicester).

Other – please specify

10. Do you need any training on?

If other, please specify

11. Do you have any support needs?

Phone credit/ data

Travel expenses

Other

If 'other', please specify

12. Is there anything else not covered in this questionnaire which interests you or which you want to tell us about?

Yes

Tell us more

Consent *

I give consent for the information provided on this form to be stored securely on the City of Sanctuary database to be used to contact me as appropriate.

Leave this field blank

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Registration for Sanctuary Ambassador