Y2Y (Youth to Youth) Ambassador Application

  • (i.e., he/him, she/her, they/them, etc)
  • MM slash DD slash YYYY
  • Part of what makes this program unique, is that the ambassadors working with our youth have a diagnosed learning disability and/or ADHD themselves. This allows the ambassadors to speak from experience and for them to be a role model for the youth in the Y2Y program. Please upload documentation below that identifies your learning disability and/or ADHD. This can include your psycho-educational assessment report, a Functional Limitations form, a previous IEP from high school etc. If you have questions about this or cannot upload your documentation below, please email the Y2Y Program Coordinator.
    Drop files here or
    Max. file size: 20 MB.
    • Applicants must submit an explanation of what being a “Youth Ambassador'' for LDANR means to them, and how they will utilize the experience to benefit their local community. This can be done in any format, including but not limited to video, PowerPoint, art, or essay. This must be in the applicant’s own original work. If you are unable to attach the files to this application, please email your explanation to the Y2Y Program Coordinator and clearly state that you are submitting an explanation to attach to your Y2Y Ambassador application.
      Drop files here or
      Max. file size: 20 MB.
      • References

        Please provide the names and contact information of two (2) professional references.
      • (e.g., supervisor, manager, etc.)
      • (e.g., supervisor, manager, etc.)
        1. I hereby agree to comply with the Learning Disabilities Association of Niagara Region (LDANR)'s policy on violence and harassment. This is with the understanding that non-compliance may result in my removal from my LDANR position.
        2. I understand that the information collected on this form will only be used to assess my eligibility for the position. This information will only be shared with LDANR staff.
        3. I understand that by providing photo and video consent upon should I be accepted, I am allowing LDANR to use photos or videos with my image and/or voice for purposes such as program promotion, event promotion, or reporting to funders in avenues which include but are not limited to social media, reports, brochures, or flyers.
        4. I give permission to the LDANR to contact the persons listed as my references for the purpose of obtaining reference information. These persons are aware that the LDANR may contact them and have my permission to discuss information regarding my current and/or previous employment.

      Our Mission

      Our purpose is to provide resources and support to individuals who are affected by learning disabilities within the Niagara Region. We provide leadership in learning disabilities awareness, advocacy, research, education and services.

      Registered Charity # 73291 9097 RR 0001

      Get In Touch

      Learning Disabilities Association of Niagara Region
      The Branscombe Centre
      1338 Fourth Avenue
      Unit S215
      St. Catharines, Ontario, Canada
      L2S 0G1

      Phone: (905) 641-1021
      Fax: (905) 641-2336