Junior Ambassador Nomination Form

Thank you for nominating a young person to be an RSPCA WA Junior Ambassador. Please complete the following fields, and provide as much information as you can to highlight just how much effort they go to in helping animals in need in WA. Don’t worry if you can’t fit everything in - we’ll be in touch once we’ve received your form to discuss your nomination in more detail. If you have any questions, please use the free form text box at the end. Privacy Statement (pending approval)

About You

Your Name: (First and Last) (required)

Your email: (required)

Your best contact number: (required)

How do you know the person being nominated: (required)

I’m their parent/guardianI’m their teacher/other educatorI’m a friend of the familyI’ve donated to their fundraising for animals in needI’m a friend of theirs from schoolOther

If you selected "Other" above, please specify:

About the Nominee

Their Name: (First and Last) (required)

Their Address: (required)

Their best contact number: (required)

Their age (required)

What school year are they in? (required)

Their School (or indicate if home-schooled) (required)

Do they know you are nominating them? (required)

YesNo

Tell us why you are nominating them. What extraordinary activities do they do to help animals in WA? Please give as much information as possible.

How do you think they benefit from being an RSPCA WA Junior Ambassador?

If you have any other questions, please let us know here.

What happens now?

Once you hit the ’Send’ button below, your nomination will be emailed to RSPCA WA, and you will receive a confirmation email that it has been submitted. Our Community Outreach and Education Coordinator will be in touch with you shortly to discuss your nomination in detail, and might ask for more information at that time.

Thank you once again for nominating a young animal lover to be an RSPCA WA Junior Ambassador.

Send