Ambassador Application for Safe School Ambassadors

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Safe School Ambassadors®
The Safe School Ambassadors® Program (SSA) is an evidence-based program that harnesses the power of students to prevent and stop bullying and mistreatment. It is considered a social-emotional learning program (SEL) and has been approved by many school districts as meeting their required criteria.

The SSA Program is a student-centered model that educates diverse social leaders with the skills to prevent and reduce bullying. It is the nation’s most effective student-led bullying prevention program.

The Safe School Ambassadors® Program relies on the “inside-out” approach to improving school climate. Student bystanders see, hear, and know things adults don’t, can intervene in ways adults can’t and are often on the scene of an incident before an adult. They are a critical and necessary resource for positively impacting the crisis of bullying in our schools.

The Safe School Ambassadors® Program harnesses the power of the socially influential leaders of a school’s diverse cliques; the ones who shape the social norms that govern other students’ behavior. These leaders are carefully identified through student and staff surveys. They are selected based upon specific criteria, such as: strong position and influence in their peer group, good communication skills, and a history of standing up for friends.

The recruited students participate in a two-day interactive training along with several adults who serve as program mentors. The training gives student Ambassadors the skills and tools to resolve conflicts, defuse incidents, and support isolated and excluded students. After the training, small group meetings of Ambassadors are held every few weeks. These meetings, led by the adult mentors, provide time for strengthening skills, support data collection and analysis of Ambassador interventions, and help sustain student and adult commitment to the program.

80% of trained Ambassadors report a gain in confidence and competence in their ability to intervene and speak up when they witness bullying, harassment and cyber-bullying in their school.

Email *

Last Name *

First Name *

Grade Level *

9th

10th

11th

12th

Phone Number *

Have you ever been a part of Safe School Ambassadors before? *

Yes

What are your interests in and outside of school? *

In a short paragraph, please tell us about a time when you stood up for someone. *

Why would you like to be a Safe School Ambassador? *

What qualities do you have that make you a good friend? *

SSA Family Group meetings will usually take place twice a month, are you willing to attend the meetings during your lunch? *

Yes

Maybe

You will be required to attend a two day training to learn the skills necessary to be a Safe School Ambassador. Are you willing to coordinate any work you may be missing in your classes with your teachers? *

Yes

Maybe

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Kern High School District. Report Abuse

Forms