Youth Ambassador

Youth Ambassador

Bullying Can’t Stop Me Program
Mental Health & Bullying Prevention Youth Ambassador Program

Goal: Select and empower a dedicated group of youth to champion mental health awareness and prevent bullying within their communities.

Eligibility:
- Age range: 14-21 (must be enrolled in a high school or university)
- Demonstrated interest in mental health and bullying prevention
- Some leadership and communication skills
- Commitment to program goals and activities
- Must be available to meet monthly for planning, workshops or networking events.
Selection Process:
- Application form with essay/statement of interest
- Shortlisted candidates participate in an interview or group activity
Program Benefits:
- Training: Attend workshops covering topics like mental health literacy, bystander intervention, and communication skills.
- Leadership Development: Enhance leadership skills through planning and facilitating activities, collaborating with peers, and representing the program in public.
- Project Management: Gain experience in project planning, execution, and evaluation through the development and implementation of bullying prevention initiatives in their communities (e.g., awareness campaigns, peer support groups, workshops).
- Networking Opportunities: Connect with other youth ambassadors and professionals in the field.
- Recognition: Receive certificates and recognition for their contributions.
- Volunteer and Professional Development hours.
Your Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Can you meet at least once a month for our virtual planning meeting?*

YesNo
Do you need accommodation services in order to perform your duties?*

YesNo
What is your interest?*

Mental Health and WellnessBullying Prevention
Why?*
Emergency Contacts*
Education Level*
School Name*
What year of college?
Birthdate*

MonthDayYear
Date
How did you find this volunteering program?*

Availability Information (There is a box to provide more detailed information)*

	From	To
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Additional Notes about hours...
Why do you want to be an ambassador in this program?*
Please tell us about your other volunteering and/or leadership experiences. (Not having experience will not prevent you from becoming an ambassador).*
What are your interests?*
What are your skills?*
ie. Graphic Design, Social Media
Photographic & Volunteer Release

I hereby acknowledge that the information given above is accurate and I give permission to the community for the use of my photographs that are taken by staff in order to use for social media.
Upload an appropriate picture

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Ambassador Candidate Signature*

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