Leadership Board application

#TakeTheLead apply to be a founding member of Ampersand's Survivors Council Leadership Board
Want to be a founding member of Ampersand’s Survivor’s Council and help get this project off the ground? Are you a visionary, big picture thinker, and brave dreamer who is able to welcome and connect survivors and build solidarity?

Apply below to join the leadership board!

this is an unpaid, volunteer position

Who is eligible?
- Identifies as a survivor of sexual violence, at such a point in their healing journey that they’re not experiencing active crisis and would not be easily triggered by the work or activism the council may choose to do or the discussions and projects they may undertake
- Invested in impacting the direction of the movement
- Someone who is excited to lead
- Understands that victim shaming and/or blaming have no place in this movement.
- Understands empowerment
- Able to attend an Ampersand training
- Able to commit to 2 meetings per month
After you submit your application, we will contact you to set up a 1 hour interview.

If being on the board doesn't seem like the right fit but you still want to be involved, we would love to have you join the Survivors Council. You can sign up here: https://hipaa.jotform.com/AmpersandKY/makethecalls

Can't wait to meet you!

Application Deadline: April 15th
Name *

First Name Last Name
Pronouns *
ie: she/they
Address *

Street Address

Street Address Line 2

City State / Province
Email *
example@example.com
Phone Number
Please enter a valid phone number.
Birthday *

Month Day Year
Date
Tell us about you!
Do you identify as a survivor of sexual violence? *

Yes No
Are you able to commit to attending two 1-hour meetings per month (one with the leadership board and Ampersand staff, one with the general council?) *

Yes No, I can't make this time commitment right now.
Are you committed to combating rape culture, elevating survivor voices, and dismantling systems of oppression? *

Heck yeah! I don't know what some of those phrases mean, but probably! This doesn't sound like what I am interested in.
Have you completed Ampersand's volunteer training? (it is okay if you haven't!) *

Yes No - but I would be interested No
What is motivating you to apply for the Survivor Council's Leadership Board? *
What has helped you get to where you are in your healing journey? *
ie: therapy, my support network, my faith, yoga, learning about trauma, volunteering.
I am interested in... *

meeting other survivors planning and facilitating community events fundraising awareness raising I'm not sure right now impacting policy/legislation getting more involved in my community supporting other survivors sharing my story something else
What do you hope to contribute to the leadership council? *
In a few sentences, tell us who you! *
What do you do for fun or to relax? Are you a natural leader or the best wing-person ever? What values do you try to live your life by? How would your best friend describe you?
Should be Empty:

#TakeTheLead apply to be a founding member of Ampersand's Survivors Council Leadership Board

Tell us about you!