Application

Global Youth Justice Ambassador

Global Youth Justice
Www.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$)ip !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
'ountry !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Phone number and area code !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
*+mail address ,- !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
*+mail address ,. !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
You may /olunteer to ser/e as a Global Youth Justice Ambassador for a term of one "-#0
two ".#0 or three "1# years. %ur term years are as follows. Please select one of the below.
At Global Youth Justice0 22' we understand life changes0 and at any time0 you may
resign or renew this new 3international role4 you ha/e thoughtfully agreed to assume.
.5-5$.5-- !!!!!!!!!! or .5-5$.5-. !!!!!!!!!! or .5-5$.5-1 !!!!!!!!!!
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 .5.5 Plan adopted by Global Youth Justice on
January -0 .5-5. These are all located on www.GlobalYouthJustice.org at
http$$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 mail one "-# completed copy of this application to (cott Peterson0
President0 Global Youth Justice0 -: 6enderson (treet0 (omer/ille0 ;A 5.-<=.
.. Please cut and paste this document off the website and fill it out and sa/e it on
your computer desktop. Then send an email to the following address with this
application sa/ed as an attachment Ambassador>GlobalYouthJustice.org.
1. You may also scan this completed application and email it to
Ambassador>GlobalYouthJustice.org.
<. A final option is to please fa? it. Please call (cott Peterson at ".5.# <@A+1B:5
between A am eastern time and @ pm *astern Time and you will be pro/ided with
a fa? number.
This new 3Global Youth Justice Ambassador4 role was launched in January of .5-5 by
(cott PetersonCs new Global Youth Justice. */en prior to the launch of this e?citing new
international role0 do&ens of youth and adults from Africa0 Australia0 America and
*urope ha/e already in8uired about assuming the role of a Global Youth Justice
Ambassador. 9n the coming years0 hundreds and e/en thousands of youth and adults will
ser/e in this new role where they e?perience making a difference. If you do not hear
back within two (2) weeks from the date of the submission of your application,
please email Scott.Peterson!lobal"outh#ustice.or$ and%or call 2&2'()*'+,-&.