SPEAK Application

SPEAK Application

SPEAK stands for SafePlace Peer Education, Action, and Knowledge. It is a group of teens from Thurston County high schools interested in coming together to talk about issues that are important to them. Some examples of the topics we will discuss include: relationships, consent, boundaries, sexual assault, anti-oppression, media literacy, and body positivity.
What does SPEAK do?

A lot of different things! We meet once a week from Fall to Spring to learn how to become peer educators. This means learning how to best educate and support our friends, family, and classmates on issues relating to domestic violence (DV) and sexual assault (SA). Every week we will have a workshop related to a different facet of the root causes of DV or SA. We also spend time in our meetings building community with each other (this is a great place to make friends!) Another part of SPEAK is doing "Healthy Relationship, Boundaries, & Consent" presentations in local high and middle schools. During these presentations you will always be supported and accompanied by a Youth Education Specialist. You will also collaborate about the content of these presentations, what information you think your friends should know about, and what issues you feel are affecting youth. SPEAK CAN BE USED TO FULFILL VOLUNTEER HOUR REQUIREMENTS IN MOST SCHOOLS!
Requirements for SPEAK:
- Must be between the ages of 15 - 18-years-old OR be a high school student in Fall 2020
- Must have a passion for working with peers around issues like relationships, boundaries, consent, and other related topics.
- Must be open-minded, non-judgmental, and want to work with people from diverse backgrounds and experiences
- Must be able to balance extra-curricular activities (sports, family, school work, music, clubs, etc.) with commitment to SPEAK
- Must allow a background check
- Must regularly attend SPEAK meetings (SPEAK meets once a week @ SafePlace, 521 Legion Way SE Olympia, on Mondays from 6:30p - 8:30p during the entire school year - excluding school holidays and breaks) WE WILL MEET VIRTUALLY OVER ZOOM BECAUSE OF COVID-19
Name (this can be whatever you like people to call you, does not have to be your "legal name")*

First NameLast Name
Pronouns (how do you want people to refer to you? e.g. they/them, ze/zir, she/her, he/him, etc.)*
Date of Birth (mm/dd/yyyy)*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School*
Grade (as of Fall 2020)*
Cell Phone Number*

Area CodePhone Number
E-mail*
Preferred contact method?*

TextEmailCall
Dietary restrictions/food allergies?
How did you hear about SPEAK?

FlyerInstagram/Facebook/other social mediaSchoolFriendOther
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*

Area CodePhone Number
Parent/Guardian E-mail*
Please answer the questions below. Remember, there is no right answer. We are just trying to get to know you as a person and see if you will be a good fit.
Why do you want to be part of SPEAK? What do you feel like you could contribute to the group?*
Why do you think these issues (relationships, sexual assault, consent, boundaries, etc.) are important to talk about with youth?*
How well do you work with groups? Specifically, how well do you work in groups of people that are different than you? *
How do you handle conflict? Please give an example of a time when you had a conflict with someone. How did you handle it? What worked and what didn’t?*
SPEAK is a large time commitment. Are there other activities or responsibilities in your life that might interfere with your participation?*
Personal Reference

Please provide the name and contact information of a reference from an educational setting. A teacher, school counselor, coach, administrator, or an adult you know from another activity you participate in is ideal (this should not be a parent, guardian, or family friend.)
Name of Reference *

First NameLast Name
Relationship to Applicant (i.e. teacher, counselor etc.)*
Phone Number*

Area CodePhone Number
E-mail*
Thank you so much for applying to SPEAK!

You will receive a follow-up at your preferred contact method 2-3 days after applying. From there, we will schedule a short "Get To Know Me." This will be a casual call to learn more about you and also for you to learn more about SPEAK! If you have any questions, feel free to email, call, or text Alyx Stone at AlyxS@safeplaceolympia.org and (360) 791-0860
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SPEAK Application

What does SPEAK do?

Personal Reference

Thank you so much for applying to SPEAK!