Youth Ambassadors 2012 Application

Please fully complete the following form and submit by midnight EST the evening of May 4th, 2012 (one week after this year's 30 Hour Famine). Shortlisted candidates will be contacted for more information in mid-May. To learn more about the Youth Ambassador program, including a list of frequently asked questions (FAQ) please visit www.worldvision.ca/ya.

The Checklist

• Passionate about ending child poverty and injustice
• Can stand in front of a group and get your message across
• Have answered all the questions below
• Age 16 to 19 as of July 1st, 2012
• Will raise at least $200 in this year's 30 Hour Famine
• Applied on time: by 12 midnight (EST), Friday May 4th, 2012

The Essentials:

First Name: Last Name: Gender: Male Female Date of Birth DD/MM/YYYY: City: Province: Alberta (AB) British Columbia (BC) Manitoba (MB) New Brunswick (NB) Newfoundland and Labrador (NL) Northwest Territories (NT) Nova Scotia (NS) Nunavut (NU) Prince Edward Island (PE) Saskatchewan (SK) Ontario (ON) Quebec (QC) Yukon (YT)
Email Address: Home Telephone Number: Cell Number (if applicable): 30 Hour Famine Group Name*: 30 Hour Famine ID*:

*If you're not yet part of a 30 Hour Famine group, Just put "Not yet registered" and we will confirm your participation if you are shortlisted"

The Questions:

1. Tell us how you became passionate about global issues? (250 words or less)* 2. What are you doing to make a difference? (250 words or less) 3. How will you share your experience when you return to Canada? (250 words or less) 4. Why do you want to become a Youth Ambassador? (100 words or less) I want to be a Youth Ambassador because...

*Being a Youth Ambassador involves spreading the word. Show us what you've got by posting your answer to question # 4 to your Facebook profile and tagging "World Vision Connect" and "World Vision 30 Hour Famine - Canada". If you haven't already, you'll need to "Like" each first:

https://www.facebook.com/worldvisionconnect
https://www.facebook.com/30HRFamine