Ambassadors Program
Application
First & last name
Street address
City, zip code
Email address
Cell phone #
Position Desired
Today's date
Year in school
Major
GPA
Why are you
interested in
serving as an
ambassador?
Please list any
current campus
activities you
are involved
with or past
work
experience.
What strengths
will make you a
strong leader
and role model
for other
students?
Additional
information you
would like to
provide?
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