Student Ambassador Application Survey

1.Today's Date
(Required.)

(01/01/1234)

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

2.Your Information(Required.)

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Cell Phone Number

3.Academic Information(Required.)

Student ID (0XXXXXX)

Degree

Area of Study (if applicable)

Credit Hours Completed (as of application date)

Cumulative GPA

Expected Graduation Date

4.How many semesters have you been enrolled at Sandburg?
(Required.)

5.Are you planning to transfer to another institution after Sandburg?(Required.)

Yes

No

If YES, where do you plan to transfer?

6.What languages are you fluent in?
(Required.)

7.How did you learn about the Student Ambassador Program? (Check all that apply)(Required.)

Other (please specify)

9.Please list any campus or community activities you are involved with (i.e. clubs, organizations, community service, etc.)(Required.)

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.)(Required.)

11.How would you describe Sandburg to a prospective student?
(Required.)

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?
(Required.)