Name

First Name

Last Name

Phone

Address

Address 1

City

ZIP / Postal Code

State / Province

Country

Employed

Company Name

Position Title

Post-Secondary

Institution Name

Program of Study

Other (please specify)

Why do you want to be a Career Ambassador?

What education, qualities and experience can you bring as a Career Ambassador?

Please upload your resume, including references:

*Information provided by applicants will be kept confidential and will only be used by the Mining Industry Human Resources Council (MiHR) and the Canadian Institute of Mining, Metallurgy and Petroleum (CIM) to administer the We Need Mining. Mining Needs You. Career Ambassador Program.

Ambassador Application Form