Thank you so much for your interest in TeenSafe!  

Are you excited about working to create a healthier, safer, and more just community, all while earning community service hours and building your leadership and communication skills along the way?  If so, we hope that you will fill out this application to join TeenSafe.  

   The What: TeenSafe Peer Leaders first learn how to recognize controlling, manipulative and abusive behavior in dating relationships (it’s often not as obvious as most people think!) and what to do if they see, hear about or experience it.  The Peer Leaders then run in-person and Zoom workshops, write blogs, create social media posts, make videos, represent TeenSafe at community events and find other ways to let their peers know that love should be safe…and what to do when it’s not.  Every year is different, with our awareness-raising efforts largely driven by the interests, skills and talents of participants.  We also work to build community among our Peer Leaders and make sure to laugh a lot and have fun while we are together.  Great snacks suggestions for in-person meetings are always welcome!

   The Who: The program is open to all high school students.  Teens of all genders and backgrounds are encouraged to apply.  

   The When and Where: We meet one or two Sundays a month from October through May either in-person at the Waltham JF&CS building or on Zoom as health concerns dictate.  We also likely will have some additional Sunday or evening meetings occasionally added to move a specific project forward more quickly.  These additional meetings are scheduled with the Peer Leaders involved in that project and so can be in-person or Zoom and are organized around the participants’ existing schedules.  Note that there is no cost to participate in TeenSafe, so there is no registration or participation fee.

   Next Steps: Please fill out and submit the application below.  Once we receive it, Amanda Woolsey, our TeenSafe Coordinator, will reach out to schedule a time to meet you either in person or on Zoom.  For more information, please email  You can also learn more about our program on the TeenSafe homepage by following the links to information about joining TeenSafe or hosting a TeenSafe program, as well as some new resources we have put together in an online toolkit focused on talking about what dating abuse is really all about.   

Personal Information


All information for at least one Parent/Guardian is required.

Answers to all five questions below are required.


How did you hear about TeenSafe?


Why do you want to be involved in TeenSafe?


What do you feel are your personal strengths that will help you contribute to the group?


What else are you involved in, outside of school? (i.e. extracurricular activities, hobbies)?


What previous experience, if any, do you have that lends itself to the TeenSafe program?

Additional Comments:

Is there anything else you would like us to know?


Please click CONTINUE to submit application.