Collegiate Brand Ambassador
1
. Please complete the contact information below.
Please complete the contact information below.
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
Phone Number:
*
2
. The basics:
The basics:
College Attending:
Year/Grade:
Cumulative GPA:
Major:
Minor:
Career Interests:
*
3
. Please list any sports, clubs, or communities that you are involved in now, or have been involved with during your college career.
Please list any sports, clubs, or communities that you are involved in now, or have been involved with during your college career.
*
4
. Please list any hobbies or special skills that qualify you for this position.
Please list any hobbies or special skills that qualify you for this position.
*
5
. Briefly tell us about your prior work experience.
Briefly tell us about your prior work experience.
*
6
. How often do you use social media platforms?
Not at all
Once a week or less
A few times a week
Daily
Facebook
*
How often do you use social media platforms? Facebook Not at all
Facebook Once a week or less
Facebook A few times a week
Facebook Daily
Twitter
Twitter Not at all
Twitter Once a week or less
Twitter A few times a week
Twitter Daily
Pinterest
Pinterest Not at all
Pinterest Once a week or less
Pinterest A few times a week
Pinterest Daily
Blogs
Blogs Not at all
Blogs Once a week or less
Blogs A few times a week
Blogs Daily
Youtube
Youtube Not at all
Youtube Once a week or less
Youtube A few times a week
Youtube Daily
Instagram
Instagram Not at all
Instagram Once a week or less
Instagram A few times a week
Instagram Daily
Foursquare
Foursquare Not at all
Foursquare Once a week or less
Foursquare A few times a week
Foursquare Daily
Other (please specify)
*
7
. Please describe five on campus opportunities where Hanky Panky could participate.
Please describe five on campus opportunities where Hanky Panky could participate.
1.
2.
3.
4.
5.
*
8
. What interests you about Hanky Panky?
What interests you about Hanky Panky?
*
9
. Please share with us why you would make a fabulous Campus Ambassador and what you can offer Hanky Panky.
Please share with us why you would make a fabulous Campus Ambassador and what you can offer Hanky Panky.
*
10
. Please provide 3 work or school related references.
Please provide 3 work or school related references.
1. Name
Phone
Email
Relationship
2. Name
Phone
Email
Relationship
3. Name
Phone
Email
Relationship
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