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2020-21 BCTK Ambassador Application Form
About BCTK:

Ban Conversion Therapy Kentucky (BCTK) is a nonpartisan, grassroots movement with the goal of passing legislation to protect Kentucky youth from the dangerous and discredited practice of conversion "torture" therapy. BCTK accomplishes its goals through public education and advocacy, political activity, community building, and reciprocal alliances with other individuals and organizations across the Commonwealth. As an organization, we strive to foster an inclusive environment for all members of the LGBTQ community and all the intersectional identities they hold. You can learn more about our organization at

About BCTK Ambassador Program:

BCTK’s ambassador program is the heart of our organization. This program is spearheaded by a team of organizers, each of whom oversees one of five (5) regions: Northern Kentucky, Eastern Kentucky, Western Kentucky, Louisville, and Lexington. BCTK Ambassadors will work under the guidance of their regional organizer to help raise awareness on conversion therapy while also advocating for the Youth Mental Protection Act to protect youth from these dangerous practices. These positions are remote; therefore, ambassadors can live anywhere in the state of Kentucky. BCTK ambassadors commit to volunteering one to two hours a week through the end of the 2021 Legislative Session in mid-May.


As an ambassador, you will work with your regional organizer to raise awareness of conversion therapy in your region. Here are some examples of past ambassador projects:

- Planning educational events
- Meeting with legislators
- Tabling for petition signatures
- Writing Op-Eds to your local Newspaper
- Creating Social Media Fundraisers
- Mobilizing constituents to contact legislators

All ambassadors must adhere to local COVID-19 mandates and will be expected to maintain flexibility in order to ensure the safety of all.


o Training: Organizers will receive extensive training and support from BCTK leadership. Organizers will also learn valuable skills for their professional and personal lives, from organizing tactics and effective leadership methods, to event planning.

o Community and Network Development: Organizers will gain a community of individuals working toward the same goals, and expand their personal network to include organizers and ambassadors from all across the
Commonwealth. This will include access to digital groups and events.

o  Reimbursement for travel and other BCTK expenses.


1. Submit Your Application
2. Interview
3. Complete Ambassador Training

APPLICATIONS CLOSE October 3 at 11:59 PM
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Personal Information
First Name *
Legal name not required.
Last Name *
(Ex: He/Him/His, They/Them/Theirs)
What is your gender identity?  (If you feel comfortable sharing)
What is your sexual orientation? (If you feel comfortable sharing)
What is your primary language? Are you proficient in any other languages?
Birthdate *
BCTK Ambassadors must be at least 16 years of age by the date an application is submitted.
Contact Information
City *
Zip/Postal Code *
What Region are you applying for?
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Cell Phone *
Email *
Twitter Handle (if applicable)
Facebook URL (if applicable)
Linkedln URL (if applicable)
Instagram Handle (if applicable)
Emergency Contact Information
This is not required to be a parent or guardian. Please indicate whoever you are most comfortable with us contacting in the case of an emergency.
Emergency contact name *
Emergency contact number *
What is your motivation to Become a BCTK Ambassador? *
Are you able to commit eight months of volunteer service? *
The 2020-21 Ambassador Program will begin in September and continue until the end of the 2021 Legislative Session in mid-May
Are you able to commit at least 2 hours of time per week? *
Are you able to attend (virtual) trainings or team check-ins twice monthly?
Clear selection
How did you hear about this ambassador opportunity? *
By checking the box below, you confirm that you understand and agree to the following terms: (1.) You represent that all the information you provide is accurate, and this information is subject to verification by BCTK. (2.) This application will become the property of BCTK. (3.) Information collected about you will be subject to BCTK's Privacy Policy.   *
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