*Leadership*Compassion*Purpose*
B.R.A.V.E. stands for Bystanders Rising Above Violence Everywhere. This project is for youth who are ready to take a stand
against relationship violence.
One in Three teens experiences some type of abuse in a relationship. Dating Abuse is an epidemic and YOU can make a
difference in your community.
Five Things You Can Do:
1. Get the Facts – visit www.weRbrave.com
2. Share a status or a tweet promoting healthy relationships or against abuse.
3. Be an Up-Stander- When you see something wrong, speak out and reach out.
4. Spread the Word – Encourage your school and youth groups to schedule a speaker to educate your family and friends
about Healthy Relationships and Dating Abuse. Contact us at Prevention@safehousefl.com.
5. Become an Ambassador – Join teens from all over Seminole County and actively work together to make a change in our
community.
Who can apply? All Seminole County high school-age youth.
Why should I? You will build your resume. Through workshops and sharing you will be trained and gain skills in
leadership and social justice. This is a great opportunity to beef up your scholarship and award applications and fulfill
community service hours.
What is time commitment? Attend twice monthly meetings for two hours each. Other volunteer hours are up to you and
your schedule.
What will I do? Bi-monthly meetings will give you a chance to be creative and have fun with other youth from around the
county as you learn about relationships and yourself. The meetings will involve interactive learning through the arts,
planning for upcoming events, and updating BRAVE social media sites. You will have the chance to help out at SafeHouse
events like our 5K and Paint it Purple Seminole; and co-host community youth gatherings.
B.R.A.V.E. is sponsored by SafeHouse of Seminole, the certified domestic violence shelter in Seminole County, Florida.
SafeHouse is a non-profit organization dedicated to seeing an end to the cycle of domestic violence. SafeHouse not only
offers the emergency shelter for victims, but reaches out to the community to provide a coordinated response to prevent
the epidemic of relationship violence.
www.weRbrave.com
BRAVE Ambassador Application
Student Information:
Name: _________________________________________________________________________________________________
Age: _____
Date of Birth: ___________ Gender: M / F / Other
Address: ____________________________________________________________________________________________
Phone (1): ___________________________ Phone (2):___________________________
Email: ______________________________________________________________________________________________
Educational Information:
Name of High School: ___________________________________________________________________________
Grade currently enrolled: ______________________________________________________________________
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__
Do you have any dietary restrictions/needs/preferences?
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Why are you interested in becoming a BRAVE Ambassador? What are you hoping to learn from being a BRAVE
Ambassador?_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Parent/Guardian Information:
Parent/Guardian name: _______________________________________
Parent/Guardian phone: _______________________________________
Parent/Guardian email: ____________________________________________
BRAVE Ambassador Commitment Statement: By signing below, I acknowledge that I understand the purpose
and function of the BRAVE Ambassador program. I am aware of the mission and goals and I am prepared to
fulfill the commitment that is asked of all members. I will commute to attend meetings, trainings and events as
outlined. I have also discussed the time and travel commitment with my parent(s)/guardian(s).
(Sign and date below)
_______________________________________________________________________________________________________
Parent(s)/Guardian(s) Commitment Statement: By signing below, I acknowledge that I understand and
support the mission and goals of the BRAVE Ambassador program. I support (print student
name)_____________________________________________in their commitment and give my permission for full participation
in all activities and responsibilities required of a BRAVE Ambassador.
(Sign and date below)
______________________________________________________________________________________________________
Permission for Photography
Please be advised that BRAVE Ambassadors may be photographed or videotaped at various events. By signing
below, you grant SafeHouse and the BRAVE program the right to use and publish photos and videos taken at
these events.
Ambassador signature:______________________________________________________
Parent/Guardian signature: __________________________________________________
www.weRbrave.com