Sophie’s Giving Tree Junior Ambassador Information
Sophie’s Giving Tree, PO Box 116, Warners, NY 13164
www.sophiesgivingtree.org skate4sophie@gmail.com
Sophie’s Giving Tree Mission
Sophie’s Giving Tree was created to provide support (financial and/or material) for
families during a medical crisis at Upstate Golisano Children’s Hospital. Our hope is this
support will allow families to be together during times that prove to be the most difficult
and emotional.
In addition we will strive to:
•
To improve the health and welfare of children by donating to other not-for-profit
organizations that support pediatric medical research or serve the needs of
children with serious medical conditions or diseases.
•
To promote the wellbeing of families with children who are patients at Upstate
Golisano Children’s Hospital in Syracuse, NY by donating directly to such families
or to other not-for-profit organizations with a similar purpose.
Mission of a Junior Ambassador
 An Official Junior Ambassador of Sophie’s Giving Tree will serve as a liaison that
supports, expands and enhances the mission of Sophie’s Giving tree through
various fundraising opportunities and events.
 Junior Ambassadors will help support families who are in a medical crisis who are
receiving treatment in Central New York, by fundraising, participating in Sophie’s
Giving Tree events and introducing new ideas on how Sophie’s Giving Tree can help
our community.
 Junior Ambassadors will develop life long skills in leadership, communication,
problem solving, time management, working as part of a team, fundraising and
public speaking.
Junior Ambassadors will:
 Participate in at least one Sophie’s Giving Tree fundraising event
o Skate-A-Thon
o Book Drive
o Making up your own way to fundraiser (this needs to be approved by the
board first)
 Attend at least one community dinner hosted by Sophie’s Giving Tree (geographical
distance will be considered if unable to attend)
 Work with other Junior Ambassadors as a team
 Always be polite, positive and enthusiastic when attending an event or representing
Sophie’s Giving Tree
 Never ask families about a child’s illness or medical condition unless the family
offers information and engages in conversation with you
Sophie’s Giving Tree
Junior Ambassador Application
Ambassador Eligibility
 Must be in the 6th grade or higher
Ambassador Application Requirements
 Completed application
 3 References
o Parent
o Teacher
o Community (coach, pastor, friend)
 Attend an interview
Name:__________________________________________________________________
Mailing Address:__________________________________________________________
City:____________________
State:_______________
Zip:______________
Parent(s)/Guardians:_______________________________________________________
Phone:_________________________
Birth Date: Month:________
School:_________________________
Email Address:_______________________
Day:_________ Year:________ Age:_______
Grade:____________
Hobbies:________________________________________________________________
_______________________________________________________________________
Why do you want to be a junior ambassador for Sophie’s Giving Tree?_______________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_____________________________
(Applicant Signature)
__________________
(Date)
_____________________________
(Parent Signature)
__________________
(Date)
Please send completed form to Sophie’s Giving Tree PO Box 116, Warners, NY 13164
Sophie’s Giving Tree
Junior Ambassador Application
CONFIDENTIAL TEACHER RECOMMENDATION
One Teacher Recommendation - Sent Confidentially by teacher to
Sophie’s Giving Tree
Name:_____________________________________________________________
School: _____________________Grade:____ Teacher:______________________
ACADEMIC ACHIEVEMENT and EFFORT: Student’s grades must show
improvement over a year’s period of time, or have maintained above average
grades. Please indicate if student has had a poor school attendance record.
TEACHER’S RECOMMENDATIONS AND OBSERVATIONS: I’ve known this
student_________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
______________________________________________________
__________________________________
(Signature)
____________________
(Date)
Please evaluate this student based on your observations of the following:
(Rating scale: 1 for Outstanding down to a 5 for Unsatisfactory)
_____Leadership qualities
_____Demonstrates honesty
_____Shows empathy
_____Works diligently
_____Completes tasks
_____Respectful of peers and adults
_____Trustworthy
_____Courteous
_____Makes good choices
_____Adjusts to new situations
_____Displays positive attitude
_____Shows maturity
Please send completed form to Sophie’s Giving Tree PO Box 116, Warners, NY 13164
Sophie’s Giving Tree
Junior Ambassador Application
PARENT RECOMMENDATION
One Parent Recommendation - Sent to Sophie’s Giving Tree
Name:_____________________________________________________________
School: _____________________Grade:____ Teacher:______________________
PARENT RECOMMENDATION:
__________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
______________________________________________________
__________________________________
(Signature)
____________________
(Date)
Please evaluate your child based on your observations of the following:
(Rating scale: 1 for Outstanding down to a 5 for Unsatisfactory)
_____Leadership qualities
_____Demonstrates honesty
_____Shows empathy
_____Works diligently
_____Completes tasks
_____Displays positive attitude
_____Respectful of peers and adults
_____Trustworthy
_____Courteous
_____Makes good choices
_____Adjusts to new situations
_____Shows maturity
Please send completed form to Sophie’s Giving Tree PO Box 116, Warners, NY 13164
Sophie’s Giving Tree
Junior Ambassador Application
CONFIDENTIAL COMMUNITY MEMBER RECOMMENDATION
One Community Member Recommendation - Sent confidently to
Sophie’s Giving Tree
Name:_____________________________________________________________
COMMUNINTY MEMBER RECOMMENDATION: I’ve known this
applicant:__________________________________________________________
__________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
______
__________________________________
(Signature)
____________________
(Date)
Please evaluate this applicant based on your observations of the
following:
(Rating scale: 1 for Outstanding down to a 5 for Unsatisfactory)
_____Leadership qualities
_____Demonstrates honesty
_____Shows empathy
_____Works diligently
_____Completes tasks
_____Displays positive attitude
_____Respectful of peers and adults
_____Trustworthy
_____Courteous
_____Makes good choices
_____Adjusts to new situations
_____Shows maturity
Please send completed form to Sophie’s Giving Tree PO Box 116, Warners, NY 13164