Student Ambassador Application Form

Student Ambassador Application Form
Name:

First NameLast Name
Email:
example@example.com
Cell Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Your grade:
Only K-12 students are eligible for our Student Ambassador program
Name of your school:
City and state (include country if outside of US) your school is located:
Parent/Guardians Full Name:
Parent/Guardians Email Address:
I have my parent/guardian's permission to apply:
If your social media accounts are public, please include them:
Your accounts do NOT need to be public, however if they are, we want to ensure you adhere to our online code of conduct
Have you organized or experience a Day Without Hate event in the past?
How did you hear about Day Without Hate?

Other
If selected to be a Student Ambassador, I will promote and do my best to help organize a Day Without Hate event at my school:
Why do you want to be a Student Ambassador for Day Without Hate?
Should be Empty: