Student Youth Ambassador Application

Your Voice. Your Impact. Your Community.

We're excited that you're interested in becoming a Boo2Bullying Student Youth Ambassador! You don't need previous experience to make a difference—just a willingness to learn, lead with kindness, and help create positive change.

Complete all sections below. Fields marked with * are required.

Personal Information

First Name*

Last Name*

Email Address*

Phone Number

Date of Birth*

City*

State*

Region*

School & Academic Information

We welcome applicants who are currently enrolled in middle school, high school, or college, as well as those who have graduated or are not currently enrolled.

Current Enrollment Status*

School or Institution Name

School City

Program Interest

No previous leadership or volunteer experience is required. We welcome young people from all backgrounds who are passionate about kindness, inclusion, and making a positive difference.

Why do you want to become a Boo2Bullying Student Youth Ambassador?*

Describe any prior experience with bullying prevention, community service, or youth leadership.

Describe any leadership experience you have.

Which program areas interest you most? (Select all that apply)

How did you hear about this program?*

Availability

When are you generally available? (Select all that apply)

Weekdays (after school)WeekendsSchool holidays / breaks

Any notes about your availability?

Consents & Acknowledgments

Program Participation: I understand that submitting this application does not guarantee acceptance into the Boo2Bullying Student Youth Ambassador Program. I agree to provide accurate information and understand that misrepresentation may result in disqualification. *Photo/Media Consent (Optional): I give permission for Boo2Bullying to use photographs or video of me taken at official program events for non-commercial promotional purposes. This consent is separate from program participation.Privacy Acknowledgment: I have read and understand the privacy notice below and agree to the collection and use of my information as described. *

The information you provide will be used to process your application to the Boo2Bullying Student Youth Ambassador Program and to communicate with you about your application and programme activities. We may share your information with trusted service providers who assist us in operating the programme, subject to confidentiality obligations. We will not sell your personal information. For full details on how we collect, use, and protect your information, please review our Privacy Policy. By submitting this form you acknowledge that you have read this notice.

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