BECOME AN AMBASSADOR The form serves as a structured Expression of Interest (EOI) and does not constitute automatic selection. First name *Last name *E-mail Address *TelephoneLinkedIn/ WebsiteOrganisation / Entity Represented *Country* *RegionCurrent Role / PositionHelix Represented *Government & Public Authorities Academia & Research Industry & SMEs Civil Society & Communities Area(s) of Expertise *Smart Motivation (max 200 words) *Indicative Availability *Up to 3 hours per monthOccasional Engagement Event-based participation only How are you applying? *Self-expression of Interest Proposed by a SAge-Hub Project Partner Proposed by another Organisation or NetworkName of Proposing OrganisationGenderFemale Male Non-binary Prefer not to say This information is collected on a voluntary basis solely for diversity monitoring purposes, in line with GDPR principles. *I consent to the processing of my personal data for the purpose of evaluating my expression of interest in the SAge-Hub Ambassador Network. Data will be processed in accordance with GDPR and will not be shared outside the project consortium.Submit
