Clone of 2017-2018 MFC Student Ambassador Application

Mayor's Fitness Council

2020-2021 Student Ambassador Leadership Class Application

The Mayor’s Fitness Council is looking for role models, postive influencers, leaders, idea creators, and change makers to empower their schools, peers, communities and families to lead healthier lives!

The mission of the Mayor's Fitness Council Student Ambassador Program is to involve San Antonio youth in Mayor Nirenberg's initiative to improve the health of San Antonio. As a student ambassador you will represent the Mayor's Fitness Council at your school campus and within your school district!

Applicants who serve as student ambassadors must currently be enrolled in a Bexar County middle or high school and be committed to serving a one and a half year term that runs from January 2020 - May 2021. Please Note: Due to the one and a half year term commitment, students currently enrolled as a senior in high school may not apply as they will be unable to fulfill their full term commitment.

As a Student Ambassador, you’ll get to:
- Attend a Student Ambassador Orientation Training;
- Attend a series of monthly hands on trainings that promote the benefits of physical activity, healthy eating, mental wellness; peer education; service learning; advocacy and civic engagement; and participation in school wellness councils;
- Dream It. Complete a roadmap of your school, after school, home, and neighborhood related to physical activity and nutrition;
- Map It. Map out your plan for implementing a service project to improve nutrition and physical activity at your school campus or in your community;
- Do It. Present before a panel of community leaders about your idea and then work to implement your service project;
- Provide written progress reports on your project;
- Produce videos, photos, blogs, etc. to document your success to educate others;
- Be Recognized at the End of the Year Recognition Ceremony and showcase your service project and;
- As an official Mayor's Fitness Council Student Ambassador you and your family will enjoy a complimentary YMCA family membership to enjoy at your nearest YMCA of Greater San Antonio location compliments of the YMCA!
Selection Process

Application must be submitted by Friday, November 1, 2019. The Mayor's Fitness Council Healthy Schools Committee will select approximately 50 student ambassadors to participate in the 2020-2021 Student Ambassador Leadership Class. Applicant selection is based on 1) quality of completed application, 2) student essay, and 3) representation from various Bexar County ISD's, Private and Charter Schools.

Parent/Guardian Information
Name *

First Name Middle Name Last Name
Relationship to Applicant *
E-mail *
Home Phone *

Area Code Phone Number
Parent/Guardian Cell phone *

Area Code Phone Number

Parent/Guardian Support
If my child is selected for this position, I understand that this will also require a high level of commitment and support from me to help to ensure the success of my child in the Mayor's Fitness Council Student Ambassador Program. I will support him/her by attending all required events and meetings and commit to the following:

• Ensure transportation for my child to attend Orientation, Saturday Workshops, and the End of Year Recognition Celebration throughout the one and half year academic term which will run from January 2020 - May 2021.;
- Attend occassional Saturday Workshops where Parent/Guardians are needed to attend.;
- Communicate and check in reguarly with the campus mentor to ensure that my child is on track with their required service project.
The Program Calendar is currently set as follows:
- Parent/Guardian, Campus Mentor and Student Ambassador Orientation - pick one of the following dates to attend: Tuesday, December 10, 2019 5:00 - 6:00 pm (location TBA), Saturday, December 14, 2019 9:00 - 10:00 am (location TBA) or Tuesday, December 17, 2019 5:00 - 6:00 pm (location TBA) *This is a required event;
- Ambassador Health I.Q. Training - Saturday, January 4, 2020 8:30 am - 2:30 pm at the San Antonio Food Bank;
- Dream It! Workshop - Saturday, February 1, 2020 9:00 - 11:00 am (location TBA);
- Research It! Workshop - Saturday, March 7, 2020 9:00 - 11:00 am (location TBA);
- Analyze It! Workshop - Saturday, April 4, 2020 9:00 - 11:00 am (location TBA);
- Market It! Workshop - Saturday, May 2, 2020 9:00 - 11:00 am (location TBA);
- Service Project Prep Workshop - Saturday, June 6, 2020 9:00 - 11:00 am (location TBA);
- Service Project Launch Workshop - Saturday, September 12, 2020 9:00 - 11:00 am (location TBA);
- Service Project Panel Presentations - Saturday, October 3, 2020 - Ambassadors will pick one of three sessions to present: Session 1 - 9:00 - 11:00 am / Session 2 - 11:00 am - 1:00 pm / Session 3 - 1:00 - 3:00 pm (location TBA);
- Final Service Project Presentation Workshop - Saturday, April 3, 2021 - 12:30 - 2:30 pm (location TBA);
- End of Year Recognition Celebration - May 2021 (date/time/location TBA)
Parent/Guardian Intials
By electronically signing my initials, I hereby state that I have read and understand the requirements/support needed from me for my child.

Emergency Contact
Name *

First Name Last Name
Relationship to Applicant *
Best Phone Number to call or text *

Area Code Phone Number
E-mail *

School Information
School District *
Grade Level at beginning of 2019-2020 academic year *
School Campus *
School Phone *

Area Code Phone Number

School Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Campus Principal

All applicants must have their campus principals support to apply.
Principal Name*

First Name Last Name
Principal Email*
example@example.com
Principal Phone Number*

Area Code Phone Number
Did you seek the support of your campus principal before applying?

Yes No
Is your campus principal supportive of you serving in the student ambassador program?

Yes Maybe No

Campus Mentor

All applicants must have a campus mentor identified to work with them at their school campus. A campus mentor is health champion at the school campus who is generally a teacher, coach, principal or school faculty that will check in with the student ambassador and guide/advise them throughout the required service project process. All campus mentors will receive a complimentary YMCA membership from the YMCA of Greater San Antonio for their commitment and service to San Antonio's Healthy Leaders.
Campus Mentor Name*

First Name Last Name
Campus Mentor Email*
example@example.com
Campus Mentor Phone Number*

Area Code Phone Number
Does the person you've listed as your campus mentor aware that they will be serving as your campus mentor?

Yes No
Does your campus mentor currently work at your school campus?

Yes No
Please list your campus mentors title/position at your school campus?

Short Answer Essay
Tips for Writing an Essay:
- Essay must be no more than 300 words;
- Give yourself plenty of time to write and proofread your answer to the essay question;
- Be honest! Be original! Be yourself! There is no wrong or right answer. We want to know more about who you are.
Why do you want to be a Mayor's Fitness Council Student Ambassador? What creative and fun ideas can you think of to help students eat healthier and be more physically active at your school campus? *

0/500

We want to know a little bit about you. Give us the "Top 3" list that best describes who you are and what you're all about (community, academic, school activities, etc. that interests you). Example: I really like being active and I play on the basketball team. *

0/500
Next, pick one of these skills and tell us how you think that skill could be used to promote healthy eating and/or physical activity on your school campus. *

0/500

The application deadline is Friday, November 1, 2019.

Questions?
- Please contact Andrea Bottiglieri at Andrea.Bottiglieri@sanantonio.gov or at 210-857-5378 .
Thank you for applying to be part of the Mayor's Fitness Council Student Ambassador Program and for your passion for a healthier, more active San Antonio!

Should be Empty:

Personal Information

Parent/Guardian Information

Parent/Guardian Support

Emergency Contact

School Information

Campus Principal

Campus Mentor

Short Answer Essay