Brother II Brother

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

Thank you

Date of Birth

Question Title

* 1. Date of Birth

Name (Last,First)

Question Title

* 2. Name (Last,First)

WCU Student ID#

Question Title

* 3. WCU Student ID#

WCU Email:

Question Title

* 4. WCU Email:

Cell #:

Question Title

* 5. Cell #:

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

Question Title

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

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

Question Title

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

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

Question Title

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

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

Question Title

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

What do you hope to gain from this experience?

Question Title

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

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

Question Title

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

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

Question Title

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

Are you employed?

Question Title

* 13. Are you employed?

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

Question Title

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

How would you describe yourself?

Question Title

* 15. How would you describe yourself?

T