8/12/2019 Ambassador Application

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ApplicationGlobal Youth Justice Ambassador

Global Youth JusticeWww.GlobalYouthJustice.Org

Applicant Information:

Please write your name as you would like it to appear on www.globalyouthjustice.org.

The year you were first appointed a Global Youth Justice Ambassador and your country

of residency will also be displayed on www.GlobalYouthJustice.org

Name !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Title"s# !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Affiliation$%rgani&ation !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Address !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

'ity$(tate$)ip !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

'ountry !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Phone number and area code !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

*+mail address ,- !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

*+mail address , !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

You may /olunteer to ser/e as a Global Youth Justice Ambassador for a term of one "-#0

two "#0 or three "1# years. %ur term years are as follows. Please select one of the below.At Global Youth Justice0 22' we understand life changes0 and at any time0 you mayresign or renew this new 3international role4 you ha/e thoughtfully agreed to assume.

5-5$5-- !!!!!!!!!! or 5-5$5- !!!!!!!!!! or 5-5$5-1 !!!!!!!!!!

http://www.globalyouthjustice.org/http://www.globalyouthjustice.org/http://www.globalyouthjustice.org/http://www.globalyouthjustice.org/

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6a/e you e/er worked at0 been in/ol/ed0 with and$or /olunteered at a local youth court0

teen court0 student court0 peer court0 youth peer panel or youth peer jury program7"Please note0 this is not a re8uirement to ser/e as a Global Youth Justice Ambassador#

Yes !!!! No!!!!

9f yes0 please write the program name

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Year you were born "optional# !!!!!!!!!!!!!!!!!!!

Please make sure you ha/e read and understand the purpose and duties of the Global

Youth Justice Ambassador. Please make sure you ha/e read the mission and /ision

statement of Global Youth Justice and the 55 Plan adopted by Global Youth Justice on

January -0 5-5. These are all located on www.GlobalYouthJustice.orgathttp$$www.globalyouthjustice.org$Youth!Justice!Ambassadors.html

6ow to submit the Global Youth Justice Ambassador application and begin ser/ing.

Please select one of the following submission options.

-. Please mailone "-# completed copy of this application to (cott Peterson0

President0 Global Youth Justice0 -: 6enderson (treet0 (omer/ille0 ;A 5-GlobalYouthJustice.org.

1. You may also scan this completed application and email it to

Ambassador>GlobalYouthJustice.org.

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