Lead Peer Advocate Application
Please complete this form to sign up to become a Lead Peer Advocate and start a Peer Advocate Crew in your school, on your campus or in your community!

LEAD PEER ADVOCATES:
-Launch Peer Advocate Crews in their school communities.
-Collaborate with peers and trusted adults to remove the barriers to seeking help faced by young survivors.
-Plan and implement 3 First Friday campaigns a year.
-Attend a monthly virtual national Lead Peer Advocate collaboration meeting.
-Conduct school and community outreach activities to raise awareness and activate support.

NOTE: DEPENDING ON AVAILABLE FUNDING, SOME LEAD PEER ADVOCATE POSITIONS IN ARIZONA ARE PAID. SOME ARE VOLUNTEER, BUT WE ARE WORKING AS FAST AS WE CAN TO RAISE $$$ TO PAY ALL LEAD PEER ADVOCATES! THANK YOU!
Full Name *
Email Address *
What is a Peer Advocate Crew?
WHY DO YOU WANT TO START A PEER ADVOCATE CREW?
LIST THE NAMES OF 4 PEERS YOU PLAN TO ASK TO JOIN THE PEER ADVOCATE CREW! (It 3-4 committed people to start a movement!)
Phone Number *
Gender Identity
Languages Spoken *
School Name *
What is your grade level in 2020-21?
Clear selection
School City/State *
Do you have access to a computer, tablet, or phone with WiFi connectivity? *
Please describe your experience with or skills for public speaking. *
What is the best way to reach you? *
Do you have any questions for us? If so, please list here:
Submit
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