Student Ambassador Application

Name*

First Last

Email*

Phone*

Graduation Month/Year*

To be eligible for the program, you must have completed your first year.

Program Division*

Cumulative GPA*

I would like to be an Ambassador for*

Summer Availability*

List an AJMLS organizations, activities, or events you are currently, or have been involved in:*

List any extracurricular or community activities you are involved in:*

List the three things you like most about AJMLS:*

In 100 words or less, please explain why you would like to be chosen to represent AJMLS as a Student Ambassador:*

Please upload the image you'd like shared in the website announcement/student ambassador profile.

Max. file size: 20 MB.

Digital Signature

I certify that this information is complete and correct to the best of my knowledge, and certify my compliance with the Code of Student Responsibility. By signing and submitting this application, I indicate my willingness and ability to undertake the responsibilities and professionalism required of a Student Ambassador. The time stamp on your electronic form submission will catalog the time and date in which you sign.

Name*

First Last

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Digital Signature

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