Peer
Court Youth Volunteer Application
Position Title: Peer
Court Youth Volunteer
Program Description
Peer Court in San Francisco is part of a national movement
of youth-led Restorative Justice programs also known as youth courts and teen
courts. Youth and adult leaders work
together with victims, families and community members on actual juvenile
justice and school discipline cases to offer Restorative Justice alternatives
to the traditional juvenile justice system.
By working to resolve these cases, you can
help prevent community crime and violence, improve community safety, and reduce
arrests, suspensions and victimization in your school and neighborhood.
Peer Court is an excellent opportunity for
youth to provide a positive change in their community, solve real problems, gain
skills, work with other local leaders, and help to keep their fellow students
in school and out of the juvenile justice system.
Position Description
Youth Facilitator is
a volunteer position. Facilitators will perform some or all of the following
activities:
·
Practice
restorative justice in their school and community
- Facilitate
small group conferences, serve on the Teen Court jury, and/or other RJAY
programs
- Work with
victims of crime and community members
- Lead, or serve
on, a team of youth volunteers
- Develop case
plans for offenders and victims
- Research
community assets and needs
- Design and
implement community service projects
- Serve on San Francisco
commissions or other groups that may help promote Restorative Justice
- Perform outreach
to schools and community organizations to help establish Peer Court in
the City
- Recruit new
members into the program from a variety of schools and neighborhoods
Expectations and
Responsibilities
Program Facilitators
will be expected to:
- Be at least 12
years of age and live or attend school in San Francisco
- Complete basic
restorative justice training and observation (approximately 12-36 hours)
- Pass a skills
test based on training
- Commit to serve
on Peer Court
for at least 1 year
- Maintain
positive behavior at home, in the community and at school
- Maintain a 2.0
GPA and good standing in your academic classes
- Sign
acknowledgement, follow and support all program rules
- Sign
confidentiality agreement and maintain confidentiality of Peer Court cases
and participants
- Pass a background
check with no offenses against youth (other restrictions may apply)
- Other
responsibilities and expectations as noted
COMPLETE
APPLICATION ON-LINE AT: www.peercourt.org OR
FOR
QUESTIONS OR TO RETURN COMPLETED APPLICATION CONTACT:
Tony
Litwak, Program Director
Peer Court, California
Community Dispute Services
502 Seventh Street, San Francisco, CA 94103
Ph: (415)
865-2524 Fax: (415) 865-2538 E-mail: tony@peercourt.org
Peer
Court Volunteer Application
Applicant’s Contact
Information
Full Name
____________________________________________ Date of Birth _____________________
Address ________________________________________ City _________________ Zip _____________
Phone _______________________________ Email
___________________________________________
Name of School ____________________________________________
Grade______________________
What neighborhood are you from? ________________________________________________________
What languages do you speak fluently? ____________________________________________________
What race or ethnicity do you identify with?
_________________________________________________
Gender (circle one) Male
Female Referred by
_______________________________
Parent/Guardian and
Emergency Contact Info
Parent/Guardian Name
______________________________________ Phone # ____________________
Address ________________________________________ City _________________ Zip _____________
Parent/Guardian Name
______________________________________ Phone # ____________________
Address ________________________________________ City _________________ Zip _____________
Other Emergency Contact _____________________________________
Phone # __________________
Address ________________________________________ City _________________ Zip _____________
Agreement
By
signing below, I agree to the following terms…..
- I promise that all information
given in this application is true and correct.
- I promise to keep confidential
all personal information I learn at Peer Court.
- I give Peer Court permission to use my
image and/or my child’s image in promotional materials such as
photographs, videos, etc.
- I give my consent to have a
background check performed by the Juvenile Probation
Department, LiveScan or other agency to check for current probation
status and any history of offenses against minors.
- I have read and understand the
Program Expectations and Responsibilities.
Signature
of Applicant _____________________________________ Date_____________
Signature
of Parent/Guardian _______________________________ Date _____________
Peer
Court Volunteer Application
Short Answer –
Background and Qualifications
- Why do you want to participate in
Peer Court?
- What strengths or qualities do
you possess that make you a good candidate?
- What are some important youth
issues facing your school and community?
- If it were up to you, how would
you address one of these issues?
- Please list any programs you
attend, leadership experience you have, jobs you have held, training
programs you have completed or community organizations you work with
(attach extra pages if needed)
YOUTH
SIGNATURE ____________________________________ DATE _________
Peer
Court Volunteer Application: Parent
Permission
By signing below, I give my child
permission to participate in Peer
Court activities, including but not limited to the
following:
- Training
at CCDS -- Participate
in Peer Court
training sessions and other activities at CCDS offices at: 502 Seventh Street, San Francisco, CA 94103. Phone 415-865-2524
- Peer
Court Service -- Serve
on a school or neighborhood Peer
Court.
- Field
Trips -- Attend
out of school activities including Field Trips with Peer Court staff. Your permission
will be requested in writing for each Field Trip.
- Media Release/Permission To Use Image, Voice or Likeness -- Peer
Court advertises its program through videos and
other promotional materials that are distributed to youth and adults who
may be interested in the program as volunteers, participants, funders or
other stakeholders. By signing below, I give my permission for Peer Court to
use and distribute my own or my child’s image, voice or likeness in
promotional materials developed by or about the program including
newsletters, photographs, film, video, printed materials, audio recordings
or other forms.
- Travel
to Other Schools -- I
grant permission for my child to provide Peer Court services to students at
other schools as arranged and attended by Peer Court staff.
- Travel
with Peer Court
Staff -- I grant
permission for my child, when necessary, to travel with Peer Court staff members in their
private automobiles to and from Peer
Court functions such as hearings, field
trips, training sessions, etc.
- Contact
by Peer Court
Staff -- I
understand that to operate Peer
Court properly it may be necessary for Peer
Court Staff to contact, or be contacted by, my child via telephone, email,
or in person at the school site.
- Background
Check -- I give
my consent to have a background check performed by the Juvenile Probation
Department, LiveScan or other agency to check for current probation status
and any history of offenses against minors.
I certify that I am
the Parent/Guardian of _______________________________________ and I
acknowledge and give my consent to the above outlined eight (8) items.
Name of
Parent/Guardian: _______________________________
Phone______________
Address _________________________________
City ______________ Zip ___________
Signature of Parent/Guardian
_______________________________ Date _____________