Leadership Program Sign up form

First and Last Name*Pronouns–None–he / him / hisshe / her / hersthey / them / their
Email*Mobile Phone Number*Our team uses SMS communication for updates and important information. Would you like to receive these messages? Please note, you can opt-out at any time!*–None–YesNo
I am a…*–None–High School StudentCollege Student (Undergraduate Only)
Are you a new or returning ambassador?*–None–NewReturning
What year will you graduate?*City of School/Org:What state or province is your school in?* (Note: This program is only available for students based in the US)–None–AKALAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRRISCSDTNTXUTVTVAWAWVWIWYCanada – Alberta (AB)Canada – British Columbia (BC)Canada – Manitoba (MB)Canada – New Brunswick (NB)Canada – Newfoundland and Labrador (NL)Canada – Northwest Territories (NT)Canada – Nova Scotia (NS)Canada – Nunavut (NU)Canada – Ontario (ON)Canada – Prince Edward Island (PE)Canada – Quebec (QC)Canada – Saskatchewan (SK)Canada – Yukon (YT)
What is the full name of your school? (No abbreviations, please)*In 50 words or less, share why you are passionate about healthy relationships…*

There are three pathways to bring One Love to your community, which are you MOST excited about?*

• Advocate: Help the decision makers in your community understand why this education is essential for you and your peers. For example, you can pitch One Love to your health teacher!
• Educate: Coordinate and facilitate One Love’s educational workshops and activities in your community. For example, get trained on One Love’s education center.
• Rally: Build awareness of One Love through fundraising and school wide events. For example, host a game dedication or start a club on your campus.

–None–AdvocateEducateRally
One Love believes in actively including people of all backgrounds and identities in our programming and content. In order to do so, we would love to learn more about everyone joining our mission for healthy relationships. To the best of your ability and as you are comfortable, please answer the following questions about yourself

Which race/ethnicity best describes you?*–None–AsianBlack or African-AmericanHispanic or LatinxMiddle Eastern/North AfricanNative American/Alaskan NativePacific Islander/Native HawaiianWhite or CaucasianMultiracial
What is your gender identity?*–None–GenderqueerManNon-binaryTransWomanPrefer not to answer
What is your sexual orientation?*–None–AsexualBisexualGayHeterosexual or straightLesbianPansexualQueerPrefer not to answer
How did you learn about this program?* :–None–One Love emailOne Love staff memberOne Love’s websiteOne Love’s social mediaA friend, peer, or family memberA staff member at my school/organizationA coachAt an eventOnline/Social Media advertisement (Spotify, Instagram, etc.)Web searchOtherOne Love came to my school/organization
Is there anything else we should know about you or anything that would accommodate you better in the program? (ex: needing closed captions):

By submitting this form, you are committing to taking action by completing 2-3 activities to engage your community with One Love and participating in one national campaign (Ex: Move for Love, Workshops, etc.)