Carl Sandburg College Student Ambassador Application Question Title * 1. Today's Date (01/01/1234) Date OK Question Title * 2. Your Information Name Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Cell Phone Number OK Question Title * 3. Academic Information Student ID (0XXXXXX) Degree Area of Study (if applicable) Credit Hours Completed (as of application date) Cumulative GPA Expected Graduation Date OK Question Title * 4. How many semesters have you been enrolled at Sandburg? OK Question Title * 5. Are you planning to transfer to another institution after Sandburg? Yes No If YES, where do you plan to transfer? OK Question Title * 6. What languages are you fluent in? OK Question Title * 7. How did you learn about the Student Ambassador Program? (Check all that apply) Nomination from Instructor Nomination from Staff Member Current Student Ambassador Sandburg Website Word of Mouth Other (please specify) OK Question Title * 8. Please grade yourself in the following areas using the provided scale. Outstanding Excellent Good Average Fair Attitude Attitude Outstanding Attitude Excellent Attitude Good Attitude Average Attitude Fair Public Speaking Public Speaking Outstanding Public Speaking Excellent Public Speaking Good Public Speaking Average Public Speaking Fair Communication Skills (written) Communication Skills (written) Outstanding Communication Skills (written) Excellent Communication Skills (written) Good Communication Skills (written) Average Communication Skills (written) Fair Interpersonal Communication Interpersonal Communication Outstanding Interpersonal Communication Excellent Interpersonal Communication Good Interpersonal Communication Average Interpersonal Communication Fair Time Management Time Management Outstanding Time Management Excellent Time Management Good Time Management Average Time Management Fair Leadership Leadership Outstanding Leadership Excellent Leadership Good Leadership Average Leadership Fair Organizational Skills Organizational Skills Outstanding Organizational Skills Excellent Organizational Skills Good Organizational Skills Average Organizational Skills Fair Self Motivation Self Motivation Outstanding Self Motivation Excellent Self Motivation Good Self Motivation Average Self Motivation Fair Team Oriented Team Oriented Outstanding Team Oriented Excellent Team Oriented Good Team Oriented Average Team Oriented Fair Work Ethic Work Ethic Outstanding Work Ethic Excellent Work Ethic Good Work Ethic Average Work Ethic Fair Computer Skills Computer Skills Outstanding Computer Skills Excellent Computer Skills Good Computer Skills Average Computer Skills Fair Cultural Awareness or Cultural Competency Cultural Awareness or Cultural Competency Outstanding Cultural Awareness or Cultural Competency Excellent Cultural Awareness or Cultural Competency Good Cultural Awareness or Cultural Competency Average Cultural Awareness or Cultural Competency Fair OK Question Title * 9. Please list any campus or community activities you are involved with (i.e. clubs, organizations, community service, etc.) OK Question Title * 10. Do you have any other commitments for the upcoming academic year (July 1-June 30)? (i.e. off-campus work, student athlete, student clubs, vacations, etc.) OK Question Title * 11. How would you describe Sandburg to a prospective student? OK Question Title * 12. The Student Ambassador Program is a leadership program and a job. What do you hope to learn from this experience? What do you hope to contribute? OK DONE