Thank you for your interest in becoming a Delaware River Ambassador. To apply for this leadership position, please complete this form. PEC will review each application and conduct follow-up interviews if warranted. Space is limited so PEC will review each application and select the participants who best meet the needs of the program.

First Name: *

Last Name: *

Email: *

This contact info is my:

Home

Business

Address 1 :

Address 2:

City:

State:

Zip:

Phone:

Expected availability:

Week days

Week nights

Weekends

Affiliations:

Please list any of your current river-related affiliations and note your involvement (boating clubs, environmental organizations, etc.).

Training:

Do you have any special river-related leadership training (e.g. boating or fishing instructor training). If so, please list certifications and date received.

Experience:

Please tell us about your personal experiences on the Delaware River (professional, recreational, etc.) and why you want to become a River Ambassador.

Describe how your experiences/leadership skills will help you fulfill your commitment.:

Please describe which aspects of the River Ambassador program are most appealing to you, (i.e. are you interested in leading trips, cleanups, speaking engagements or tabling?) and describe how your experiences/leadership skills will help you fulfill your commitment.

Additional information:

Please note any additional information you’d like us to consider.

How did you find out about this program?:

References:

Please submit the following information for two (2) references: Full name Relationship to you Phone number Email