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Planet Patrol Uni Ambassador Application Form

Thank you for your interest in becoming a Planet Patrol Uni Ambassador! We are excited for you to join our team and get patrolling as soon as possible! Please complete and submit this application and agreement form, and someone from the Planet Patrol team will be in touch with next steps within the next few weeks. Note that the agreement that you will sign during the application process will only commence when Planet Patrol provides confirmation to you that you have passed the screening process and have been accepted as a Uni Ambassador, and not before.

Personal Details

First Last

Name of your university

Please include postcode - this is where correspondence / equipment will be sent to

This may be used by Planet Patrol to contact you during a clean-up and will be used to add you to the Uni Ambassador WhatsApp group

Course details

1st year, 2nd year, etc.


In less than 100 words

Becoming a Uni Ambassador

In less than 200 words

In less than 200 words

This will help us to help create a programme that best suits your university, and provides us with ideas to share with other Uni Ambassadors!

e.g. Facebook, Twitter, Instagram, TikTok, LinkedIn, Website etc. (just whatever you use!)

Agreement Information

We want to take this opportunity to thank you for your time, effort and enthusiasm towards the Planet Patrol Community Guardian programme! If you have any queries or concerns, please don't hesitate to contact us at

From Lizzie and the Planet Patrol team. 

NB: By completing this you agree to comply with GDPR data protection laws and Planet Patrol using your data for the purpose of your position as volunteer partner, running clean ups and communicating with you regularly about your role.

NB: By signing this form you are declaring that you do not have any previous convictions or cautions, restricting you from working with young people or vulnerable adults and confirm that there is no other reason why Planet Patrol should not work with you or your group. 

Tap or click on the signature above to sign