School Ambassador Program Registration

School Ambassador Program Registration
Name*

First NameLast Name
School Email*
example@example.com
Job Title*

Classroom TeacherTeacher Aid / Learning Support OfficerAdministrationAssistant PrincipalDeputy PrincipalSports Coordinator / Head of SportPDHPE TeacherPrincipalSystem Leader
Mobile Phone*
Please enter a valid phone number.Format: 0000 000 000.
School Name*
State

NSWVICSANTWAACTQLDINTERNATIONALTAS
Cant find your school? Please enter the school name and suburb below.
School Name
Can't find school
What school level do you work with?*

PrimarySecondaryEarly Childhood
What tier are you applying for?*

PRE SERVICE (University students)BRONZE (All school staff)SILVER (NRL Program Host, School Rugby League Coach)GOLD (Competition convenor, League Stars Inspire & before/after school host, School Boy/Girl Cup Head Coach)PRINCIPAL / SYSTEM LEADERINTERNATIONAL
Tier Conversion

Pre ServiceBronzeSilverGoldPrincipal/System LeaderInternational
Shirt Size*
NRL Account ID
Were you referred?*

YesNo
If Yes, who referred you?

ColleagueNRL Staff memberOther
Other Referrer - Please specify
Name of the person who referred you?
Calendar Year
SAP Status
Pack Type
Program Status
NRL School Ambassador communications*

By registering to the NRL School Ambassador Program I opt in to receiving communications from the NRL about School and Community programs, competitions and events.
Local Club communications

By registering to the NRL School Ambassador Program I opt in to receiving communications from my local NRL club about School and Community programs, competitions and events.
Please verify that you are human*
By tapping Submit, I agree to the NRL Terms of Use, Privacy Policy and Collection Statement
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