STEM Ambassador Program – Application Form

Thank you for applying to take part in STEM Ambassador Program.

We are looking for applicants from a wide variety of backgrounds (including STEM area and career stage diversity). The ideal applicant will:
- Have an interest in politics and public policy
- Strong communication skills
- Dedicated to increasing the prevalence of evidence-based policy
- Willing to work with members of Parliament regardless of political affiliation
- Skilled at building and maintaining professional relationships.

Before filling out an application, please ensure you have read the Ambassador information pack and statement of expectation.
If you have any questions, we can be reached via email or on (02) 6257 2891.

Contact details

Note: we are seeking a broad range of applicants from diverse backgrounds.

Professional details

This information is collected to ensure diversity in our participants.

I give permission for my biography to be published publicly (click to confirm)*

Political details

Please confirm the following:
I am not, and have not been, a member of any political party (members of political parties are unable to participate) *

Selection Criteria

Please address the following questions in response to the selection criteria in a maximum of 1250 characters (or approx 200 words).

Would you like to recieve updates from Science & Technology Australia?

Yes (please tick), I have read and understood the Ambassador information pack and Statement of Expectations*

Please type your full name here in place of a signature.*

Note: If you do not receive a green note of confirmation that your submission was successful, please scroll up and check all answers have been filled and boxes checked.
If you receive an email confirmation, your form has been received (even if the page refreshes upon submission)