Ambassador Application
Application deadline: Thursday, August 13
th
Name:
Mailing Address City ST Zip
Preferred Phone Email: Student ID Number
Curriculum Number of credits presently taking
Number of credits completed Overall G.P.A.
Present G.P.A Projected Date of Graduation
Long Term Goal
Employment Status: Full-time Part-time Unemployed
If employed, how many hours per week? Employment status next year?
If selected would there be anything that would hinder your availability to serve as a Bladen Community
College Ambassador?
Activities on Campus you participate in:
Hobbies and Interests:
Have you read the by-laws of the BCC Ambassador program?
I agree to abide by the by-laws if selected as an Ambassador?
In essay form, please explain why you are interested in representing BCC as an ambassador and what special
skills or experiences you would bring to the position. (Use an additional sheet of paper).
Please give the names of three members of the college community (faculty, administrators, or staff) that have
agreed to give you a recommendation for the Ambassador program.
Name:
Name:
Name:
Please return application and nominations to Linda Burney - Building 7, Second Floor or either by
mailing to Linda Burney, Bladen Community College Foundation, P. O. Box 384, Dublin NC 28332
or email lburney@bladencc.edu. Please type or print in blue or black ink.
(Revised 06-12-2020)
Ambassador Nomination Form
Ambassador Applicant’s Name:
Nominator’s Signature:
Position:
Nominator: Please complete the following concerning the individual you are nominating as a Bladen
Community College Ambassador.
How well do you know the applicant?
In what capacity?
How long?
Please rank the applicant on the following traits-using 1(poor) to 5(excellent).
1 2 3 4 5 Takes a personal interest in working with and helping others
1 2 3 4 5 Demonstrates a high level of college spirit
1 2 3 4 5 Encourages teamwork and self-discipline
1 2 3 4 5 Exhibits good communication skills
1 2 3 4 5 Exhibits pride in academic progress, appearance, and abilities
1 2 3 4 5 Shows ability to make a positive first impression
1 2 3 4 5 Dependability
Write a brief recommendation of the applicant.
ALL COMMENTS ARE CONFIDENTIAL
(Revised 06-12-2020)
Please return nomination to Linda Burney - Building 7, Second Floor or by either mailing to
Bladen Community College Foundation, P. O. Box 384, Dublin NC 28332 or email
lburney@bladencc.edu. Please type or print in blue or black ink.
RETURN BY THURSDAY, AUGUST 13TH
click to sign
signature
click to edit
Ambassador Nomination Form
Ambassador Applicant’s Name:
Nominator’s Signature:
Position:
Nominator: Please complete the following concerning the individual you are nominating as a Bladen
Community College Ambassador.
How well do you know the applicant?
In what capacity?
How long?
Please rank the applicant on the following traits-using 1(poor) to 5(excellent).
1 2 3 4 5 Takes a personal interest in working with and helping others
1 2 3 4 5 Demonstrates a high level of college spirit
1 2 3 4 5 Encourages teamwork and self-discipline
1 2 3 4 5 Exhibits good communication skills
1 2 3 4 5 Exhibits pride in academic progress, appearance, and abilities
1 2 3 4 5 Shows ability to make a positive first impression
1 2 3 4 5 Dependability
Write a brief recommendation of the applicant.
ALL COMMENTS ARE CONFIDENTIAL
(Revised 06-12-2020)
RETURN BY THURSDAY, AUGUST 13TH
Please return nomination to Linda Burney - Building 7, Second Floor or by either mailing to
Bladen Community College Foundation, P. O. Box 384, Dublin NC 28332 or email
lburney@bladencc.edu. Please type or print in blue or black ink.
click to sign
signature
click to edit
Ambassador Nomination Form
Ambassador Applicant’s Name:
Nominator’s Signature:
Position:
Nominator: Please complete the following concerning the individual you are nominating as a Bladen
Community College Ambassador.
How well do you know the applicant?
In what capacity?
How long?
Please rank the applicant on the following traits-using 1(poor) to 5(excellent).
1 2 3 4 5 Takes a personal interest in working with and helping others
1 2 3 4 5 Demonstrates a high level of college spirit
1 2 3 4 5 Encourages teamwork and self-discipline
1 2 3 4 5 Exhibits good communication skills
1 2 3 4 5 Exhibits pride in academic progress, appearance, and abilities
1 2 3 4 5 Shows ability to make a positive first impression
1 2 3 4 5 Dependability
Write a brief recommendation of the applicant
ALL COMMENTS ARE CONFIDENTIAL
(Revised 06-12-2020)
Please return nomination to Linda Burney - Building 7, Second Floor or by either mailing to
Bladen Community College Foundation, P. O. Box 384, Dublin NC 28332 or email
lburney@bladencc.edu.
Please type or print in blue or black ink.
RETURN BY THURSDAY, AUGUST 13TH
click to sign
signature
click to edit