Brother II Brother

Thank you for your interest in the Brother II Brother Program. Please answer each question thoughtfully and completely.

Thank you

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* 1. Date of Birth

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* 2. Name (Last,First)

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* 3. WCU Student ID#

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* 4. WCU Email:

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* 5. Cell #:

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* 6. Why do you want to be an Academic Ambassador in the Brother II Brother Program?

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* 7. Please list any previous community or campus involvement, and the number of years you participated.

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* 8. If selected as an Academic Ambassador, please describe how you would increase your students' potential for academic success.

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* 9. What support or resources would you need to be successful as an Academic Ambassador?

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* 10. What do you hope to gain from this experience?

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* 11. What do you hope your students will gain from this experience?

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* 12. What do you like to do in your spare time? (watch movies, video games, sports, tv, etc.)

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* 13. Are you employed?

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* 14. If yes, how many hours do you work per week.

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* 15. How would you describe yourself?

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