Apply to become an i2i Ambassador!

i2i Program Description:

i2i: What R U Looking 4TM is a program created by teens just like you to promote healthy, respectful, nonviolent dating relationships among tweens and teens, ages 11 to 14.

 

Roles and Responsibilities:

As an i2i Ambassador, you’ll help teach younger teens in your community how to form healthy and respectful relationships and inform them about what can lead to dating violence. Please note the i2i Ambassadors do not provide counseling to other youth.

During the 2013/2014 school year, each i2i Ambassador will:

  • Attend all scheduled training(s), meetings, and special events
  • Help plan for and host at least three events during the school year
  • Generate and manage conversation for the i2i social media campaign (ie. Facebook, Twitter, Instagram)
  • Attend 2 – 4 meetings a month – as determined by the i2i Program Manager
  • Help monitor the success of the program
  • Receive up to $500 in gift cards for their participation

 

Eligibility:

  • Must attend one of the following high schools (Blanche Ely, Boyd Anderson, Coconut Creek, Deerfield Beach, Dillard, Hallandale, Hollywood Hills, McArthur, Northeast, Piper, South Broward)
  • Must be between the ages of 15-18
  • Have a Minimum GPA of 2.0

To Apply: Fill out the attached application and email or mail application along with your creative component (essay, video, poem, etc.) and a copy of your report card by Friday, October 11th , 2013. There are nine openings available. Selected candidates will participate in a face to face interview with the i2i Program Lead and Ambassadors (dates to be determined).  

Creative Component:

 

In your own words please tell us why you want to be an i2i Ambassador.  This can be in the form of a poem, essay, video or any creative way you want to express yourself.

 

For more information please contact Heidi Vaniman, i2i Program Lead, at 954.467.4700 ext 4043 or heidi_vaniman@doh.state.fl.us

 

i2i Ambassador Application

 

Personal Information

First Name: ­­­­­­________________________ Last Name: _______________________ Age: _____

Address: ­­­_______________________________________________________Gender:  M / F

City: __________________________State: __________________Zip code: ________________

Phone (1): ___________________________   Phone (2):___________________________

Email: _______________________________________________

Educational Information

 

Name of High School: ____________________________________

Do you have a minimum 2.0 GPA or higher? : ­­­  ____Yes ____No

List all extracurricular activities you participate in and/or any skills or talents you may possess (i.e photography, art, public speaking etc.)______________________________________________________

____________________________________________________________________________________

Do you have your own transportation? ____Yes ____No

If yes, would you be able to assist in the transportation of other local i2i Ambassadors to attend meetings, trainings or events? ____Yes ____ No

 

Supplemental Documents (include with application):

  • Copy of most recent report card
  • Creative Component (Essay, poem, video, etc.)

 

Before submitting your application, make sure everything on the following checklist is included:

____ This completed application form

____ Copy of report card

____ Creative component

Mail applications to:

Florida Department of Health – Dating Matters

Attn: Heidi Vaniman

780 S.W. 24th Street, Admin Bldg.

Fort Lauderdale, FL33315

Email: heidi_vaniman@doh.state.fl.us

Student Signature: __________________________________________ Date: _________________

Parent/Guardian Consent: I ________________________ authorize _____________________ to

Print Name                                                                             Print Child’s Name

participate in the i2i Ambassador program.

Parent/Guardian Signature: ___________________________________ Date: _________________

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