Step 1 of 7 14% Safe2Tell Student Ambassador Application Safe2Tell is excited to announce we are accepting applications for our 2022 - 2023 school year student ambassador program! Our ambassadors will help provide insight and feedback on the Safe2Tell program and make sure that we are youth-centered in our work. Si necesita el forma en Español, está AQUÍ. Student Ambassador Job Description Overview: Ambassadors will serve as positive role models for their peers, share Safe2Tell resources with their schools, and help the program relate to students by engaging in creative promotional, marketing, and peer-to-peer projects. As an example, students may engage in a social media "takeover" of Safe2Tell, facilitate a statewide art/coloring contest, or help us discuss and evaluate ways to change our work to meet youth where they are. Qualifications: Rising sophomore, junior, or senior Interest in school safety, leadership development, marketing, community service, public policy, and/or related fields Availability for monthly meetings, either virtual or in person, including a final presentation event that will be held in-person in Denver. We understand that the school year can be busy, however you will need to commit to attend at least 80% of all meetings. If accessibility to technology is limited, the Safe2Tell office will ensure connectivity for all. These meetings will vary between large group and one-on-one check-ins Self-starter to engage in projects outside of the meeting time Willingness to make connections with other ambassadors, school staff, school leadership and peers Perks: Ambassadors will receive an honorarium in recognition of their contribution to Safe2Tell Meet and greet with Colorado Attorney General Certificate of participation Make an impact within your community through Safe2Tell Safe2Tell SWAG for each ambassador Network with Safe2Tell staff and other students from across Colorado Exposure to groups that have a similar vision Learn and develop skills such as leadership, marketing, and networking. Email S2TAmbassador@coag.gov with any questions or visit Safe2Tell Colorado for more information. This application will close on April 17, 2022 at 11:59pm. Demographic InformationStudent Name(Required) First Last Preferred Name: Grade: 10th 11th 12th Pronouns: he/him/his she/her/hers they/them/theirs Other Home Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County of Residence: Home PhoneCell PhoneEmail Preferred method of contact (choose only one) Email Text Group chat Phone call Name of School Principal's Name Principal's Email Counselor's Name Counselor's Email School Sponsor* Title(Required) Sponsor Phone(Required) Sponsor Email(Required) * This person should be someone who can commit to assist you with your project throughout the year. Parent/Guardian's Name(Required) Parent/Guardian's Phone(Required) Parent/Guardian's Email(Required) Tell us about yourself The answers for each question should be a minimum of 50 words and a maximum of 150 words. 1. Why do you want to be a Safe2Tell Ambassador?2. Explain what ideas you have to improve the Safe2Tell culture at schools in Colorado.3. How would participating in this ambassador program improve safety in your school or community?4. What changes would you like to see in your school regarding safety and positive reporting culture? (People using Safe2Tell the way it was intended to be used)5. What unique skills, talents, and background would you bring to the Safe2Tell Ambassadors? (Public speaking experience, graphic design, social media, etc.)6. Are you available for the ambassador kickoff meeting in late July?YesNoMaybe(if maybe, please describe below)Maybe response: ReferencesReference #1 Name Reference #1 Phone Number Reference #1 Email Reference #2 Name Reference #2 Phone Number Reference #2 Email Please attach letters of reference. These references can be personal or professional The top group of ambassador candidates will be invited to interview with the Safe2Tell team virtually or in-person. Ten to twelve finalists will be selected from that pool and invited to join the program in June.Attachments Drop files here or Select files Max. file size: 128 MB. Safe2Tell Colorado Ambassador Waiver PERMISSION TO TRAVEL AND PARTICIPATE; WAIVER AND RELEASE OF CLAIMS: I, the parent/guardian of the student named below, hereby give my permission for my son/daughter to participate in Safe2Tell’s Ambassador program including the course materials, trips (if any), and enrichment activities. I understand that my child is expected to attend monthly in-person and/or virtual meetings. I hereby waive any and all claims and demands for relief, whether past or future, that could be asserted based on, related to, or concerning the student’s participation in the Safe2Tell Ambassador Program, and I expressly release, discharge, indemnify and hold harmless the student’s school, its employees, and Safe2Tell Colorado from and against any and all such claims and demands and from and against any expenses or injuries that my child may incur while engaged in this activity. I understand that my child is responsible for his/her behavior at all times. I agree that in the event of an injury Safe2Tell personnel in charge of this activity may act on my behalf in obtaining medical treatment for my child. I indicated below any permanent or temporary condition that should be known about my child:Medical Condition (Write "none" if applicable) Student's Name:(Required) High School: Current grade level: Student Signature (Digital Signature Accepted)(Required) Date MM slash DD slash YYYY Student Waiver Consent(Required) I understand and agree to the waiver agreement Parent/Guardian's Name:(Required) Parent Guardian's Signature (Digital Signature Accepted)(Required) Date MM slash DD slash YYYY Parent Waiver Consent(Required) I understand and agree to the waiver agreement Emergency Contact InformationEmergency Contact PhoneEmergency Contact Email Relation to Student: Any medical or other information our advisors need to be aware of? (Write "none", if applicable) Safe2Tell Colorado Video and Photo Release Form I hereby grant and authorize Safe2Tell Colorado the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures, videos, or quotes taken of my child (listed below), to be used in and/or for legally promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, videos, press kits and submissions to journalists, websites, social networking sites, and other print and digital communications without payment or any other consideration. This authorization extends to all languages, media, formats, and markets now known or hereafter devised. This authorization shall continue indefinitely. I understand and agree that these materials shall become the property of Safe2Tell Colorado and will not be returned. I waive any right to inspect or approve the finished product, and I waive any right to compensation. I hereby hold harmless and release Safe2Tell Colorado from all liability, petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf. Student Signature for Photo Release(Required) Date MM slash DD slash YYYY Student Photo Release Consent(Required) I understand and agree to the video and photo release statement Parent Signature for Photo Release(Required) Date MM slash DD slash YYYY Parent Photo Release Consent(Required) I understand and agree to the video and photo release statement Availability What is the best time for you to meet during the week? This can be an estimate. 1. Which day or days of the week work best for you? This can be an estimate. Mondays Tuesdays Wednesdays Thursdays Fridays Select All2. What is the best time of the day to meet generally? You can check more than one box and meetings will last about 90 minutes. 3pm - 5pm 4pm - 6pm 5pm - 7pm 6pm - 8pm 7pm - 9pm Select AllEmailThis field is for validation purposes and should be left unchanged.
