School Ambassador Program Registration

School Ambassador Program Registration
Name*

First NameLast Name
School Email*
example@example.com
Job Title*
Mobile Phone*
Please enter a valid phone number.
School State*
ACT School Name
NSW School Name: A-F
NSW School Name: G-L
NSW School Name: M-R
NSW School Name: S-Z
QLD School Name: A-L
QLD School Name: M-Z
VIC School Name: A-I
VIC School Name: J-R
VIC School Name: S-Z
NT School Name:
SA School Name:
TAS School Name:
WA School Name: A-L
WA School Name: M-Z
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 (Program Host, Coach, Principal)Gold (Convenor, League Stars Host, League Stars Inspire Host, School Boy/Girl Cup Head Coach)International
Tier Conversion

Pre ServiceBronzeSilverGoldInternational
Shirt Size*
What competition are you convening?
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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