Ambassador Application
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Email *
Please read through the entire application before beginning. offers examples of DBT skills (e.g., Mindfulness, Opposite Action, Paced Breathing, etc.) through the form of video. It also offers free resources such as a Safety Plan and Guide, Crisis Resources, posters, and other downloadables. DBT stands for Dialectical Behavior Therapy and was developed by Dr. Marsha Linehan.

We ask that people demonstrate their interest by creating a video as part of their application.

We hold an annual Academy (applications due Oct 1, but early submissions may earn pre-approval). If not accepted for this cycle, you can reapply next year.

Becoming an Ambassador and attending an Academy is about learning, sharing and empowering ourselves and others.

Your information will be reviewed by our founder Dr. Ursula Whiteside, or a member of the team. Your responses are confidential within

REQUIRED: Video submission
Submit a 1 to 2 minute maximum video describing yourself using a DBT skill from the website. Upload to Vimeo or YouTube and share link here. Use the Practice Assignment as a guide: and video tips:
VIDEO SUBMISSION: Link to your video *
What tools have you used from the website? *
Having utilized the tools on the website increases your likelihood of acceptance for an Academy.
Other information. We seek to have ambassadors who are representative of all of us. Select those that you are aware of and apply to you (e.g., no need to go look these up if you aren't familiar). Many people have more than one. This information is confidential (only Ursula Whiteside and select members of her team who also have Lived Experience will review). For mental health or substance problems, these can be current or former. We do not exclude people based on their experiences. *
First and Last Name *
Cell Phone Number *
What Do You Do? *
Education Level *
Besides work, school, or homemaker - what have you typically do with your time in the past two months? (e.g. coach basketball, read novels, hide in my room, play video games) *
Race and Ethnicity *
City and State or Zip Code *
Demographic - Age *
Demographics - Gender Identity *
Is it okay to? *
*Most Important Question*: Tell us more. What did you find helpful about DBT skills (e.g. Mindfulness, Opposite Action, Paced Breathing, Mindfulness of Current Emotion, etc) and/or (DBT skill videos plus other resources)? Why would you like to share? Please provide at least 3 sentences or more about your experience. If you have received DBT or used DBT skills, tell us about your experience (i.e. how long and what was included, whether you used DBTs skills, whether you benefited). *
Thank you for your interest!
Additional Resources:
Suicidal thoughts are not uncommon. It's an important indicator that something in our lives need to change.

Save the suicide prevention lifeline is 1-800-273-8255 (you don't have to be suicidal to call; friends and family members welcome). Also, please save the Crisis Text Line to your phone 741741 (just text "matters" or any word to start a convo).
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