Student Wellness
Ambassadors Program
Application
First & last name
Street address
City, zip code
Email address
Cell phone #
Exp. grad date
Today's date
Year in school
Major
GPA
Why are you
interested in
serving as a
wellness
ambassador?
Please list any
current campus
activities you are
involved with.
What strengths will
make you a strong
leader and role
model for other
Foothill students?
What motivates
you? Who inspires
you? How would you
motivate and inspire
others related to
wellness and mental
health?
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