Youth Ambassador Application

Youth Ambassador Application

Apply to be notified when our next session opens for registration. The Youth Ambassador program is open to all teens in grades 9-12. Our team at Gabriel’s Light will be in touch when we set dates for our next session. For information and details on our sessions, please click here.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School

Age

High School Graduation Year

Parent Contact Name

Parent Contact Phone Number

Parent Contact Email

Why are you interested in this program?

How did you find out about this program?

We will meet on Zoom for approximately an hour two-three times during the program. Are you willing to meet with our group on zoom for training and discussions?

Yes

What are your social media handles so we can follow you and keep updated on your project?

What size t-shirt would you prefer?

Youth Ambassador Application

Youth Ambassador Application

Join Our Mission to Prevent Youth Suicide