Ambassador Application Join the Fight Become a BTSADV Ambassador Join the Fight Become a BTSADVAmbassador The Voice of Survivors Thrivers Warriors Crusaders Apply Today BTSADV Ambassador Application Ambassador Application for Break the Silence Against Domestic Violence *BTSADV Disclaimer* Due to the nature of the ambassadors work, you must check each box to confirm that you understand, accept, and agree to the listed information/requirements.(Required) You must be away from your DV situation for at least 1 year. There is no guarantee that you will be placed on a volunteer team. You must be fluent in English (speaking, reading, writing). You must have a computer with reliable internet and a working phone. You may be exposed to triggers and stressors due to the nature of the volunteer work. You must be over the age of 18 years old. Name(Required) First Last Date of Birth:(Required) Month Day Year Permanent Residential Address:(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country *BTSADV Disclaimer* We are only taking volunteers that are in the continental United States for the time being and we will file other applications for future opportunities.Email Address:(Required) Consent I agree receive email communication from BTSADV.Phone Number:(Required)Have you ever been convicted of a crime? (Answering yes will not disqualify your application)(Required) Yes No If yes, please explain.(Required) Are you currently employed?(Required) Yes No Current Employer:(Required) Title/Position:(Required) How long have you been at your current place of employment?(Required) Please include 3 professional references with phone contact information:(Required)First NameLast NameEmail People listed will be contactedHighest Level of Education(Required) Some High School Diploma/GED Some College College Degree Please list any degrees that you've earned: Please tell us why you'd like to be an Ambassador?(Required)How confident in your skills are you in each one of these fields? Please be honest!Communication:(Required) Highly Confident Confident Unsure Uncomfortable Conflict Resolution:(Required) Highly Confident Confident Unsure Uncomfortable Social Media Administration:(Required) Highly Confident Confident Unsure Uncomfortable Public Speaking:(Required) Highly Confident Confident Unsure Uncomfortable Writing:(Required) Highly Confident Confident Unsure Uncomfortable Technology:(Required) Highly Confident Confident Unsure Uncomfortable Team Work:(Required) Highly Confident Confident Unsure Uncomfortable Taking Corrective Criticism:(Required) Highly Confident Confident Unsure Uncomfortable What do you feel are your strengths and your weaknesses?(Required)How could BTSADV best utilize your strengths?(Required)Your DV Story:Have you been personally affected by domestic violence?(Required) Yes No How long have you been away from your abusive situation? If you are a survivor, how have you worked on your healing?E.g., self-care, hobbies, etc.Are you comfortable discussing your own life events including the pain you endured and your healing process?(Required) Yes No Maybe Volunteer History:Do you have any past volunteer history working in the DV field?(Required) Yes No Have you ever been an Ambassador? Yes No If yes, please tell us what organization it was with and why you left.(Required)How have you handled past conflict in a work/volunteering environment, have you ever been let go of a past (volunteer) position?(Required)How did you hear about our Ambassador program?(Required) Social Media (Twitter, Facebook, Instagram) Internet Search Volunteer Website BTSADV Website BTSADV Volunteer Community Event Is there anything else you would like to tell us?Ambassador CommitmentAs a BTSADV Ambassador I agree to:(Required) Wear the Brand- Name, logo, swag Advocate- Spread the word about BTSADV and DV Share!- BTSADV social media posts and events Raise Money- Find new opportunities and support BTSADV fundraisers Connect- Reach out to local organizations& set up tables at community events. "Ambassadors are required to attend/plan one activity per month, three connections per month, and attend/plan one fundraiser every three months. Are you able to commit to this?(Required) Yes No Ambassadors are required to attend one monthly ALL Team meeting- currently the last Tuesday of every month at 8:00pm EST/5:00 pm PST, and attend a monthly Ambassador Team Call (dates/times TBD) . Are you able to commit to this?(Required) Yes No Maybe Ambassador level(Required) Survivor (Free) Thriver ($25 yearly donation) Warrior ($50 yearly donation) Crusader ($100 yearly donation) CAPTCHA Δ "How wonderful it is that nobody need wait a single moment before starting to improve the world.” Anne Frank