BINS4Blokes Ambassador Expression of Interest

Your application

Please tell us about yourself and your interest in becoming a BINS4Blokes ambassador.
Consider:

Your experience with incontinence
What motivates you to become a BINS4Blokes ambassador
What you hope to achieve through the program

Interests

Which ambassador activities are you interested in? (Select all that apply)

Advocating for the installation of incontinence product disposal bins in venuesSpeaking engagementsSocial media and website presence (eg. photos and videos)Other, please specify

Please specify other ambassador activity

If interested in advocacy, are there settings you would most like to support? (Select all that apply)

Workplaces (eg construction, mining, transportation)Sporting and recreation facilities (eg stadiums, golf clubs, aquatic centres)Public toilets (eg councils, transport hubs, parks)Community groups (eg Men's Sheds, RSLs, support groups)Healthcare settings (eg hospitals, clinics, health centres)

Availability

How much time are you able to give to BINS4Blokes?

1-2 hours a week1-2 hours a month2+ hours a weekOther, please specify

Please specify your availability

Declaration

The BINS4Blokes Ambassador Program is a voluntary role. Please confirm:

I understand the voluntary nature of the ambassador roleIf appointed, I will represent BINS4Blokes in a respectful and professional mannerI agree to be contacted regarding ambassador opportunities

Why are we asking these questions?

BINS4Blokes is committed to representing the diversity of communities in Australia. To ensure the program has meaningful national reach and impact, we aim to recruit ambassadors from a broad range of backgrounds, including different ages, cultures, and locations across Australia. This information helps us build an ambassador network that reflects the communities we serve and ensures a diversity of voices and perspectives are represented.

Thank you for your interest in becoming a BINS4Blokes ambassador. A staff member will be in touch with you within 5 business days.