Exit this survey Park Ambassador Interest Form 2017-2018 Thank you for your interest in becoming a Park Ambassador!Please take a moment to answer a few questions. Question Title * 1. Last name: Question Title * 2. First name: Question Title * 3. Email: Question Title * 4. Mobile phone number: Question Title * 5. City of residence (current Park Scholars, list home city): Question Title * 6. State of residence (current Park Scholars, list home state): AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Other (please specify): Question Title * 7. What is your affiliation with NC State and/or the Park Scholarships program? (Choose all that apply.) Current Park Scholar Park Alumnus Parent of a Park Scholar/Alumnus Park Selection Committee NC State Faculty/Staff Other (please specify): Question Title * 8. What is your or your student's Park class year (if applicable)? 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 Other (please specify): Question Title * 9. What type(s) of recruiting efforts interest you? High School Visits College Fairs NC State Open House (October 14, 2017) Programs for under-represented students Programs for 8th-9th grade students Programs for high school counselors and/or teachers Informational presentations at Park Semifinal Interviews (January 6-7, 2018) Assisting with non-evaluative activities during Park Finalist Weekend (February 16-17, 2018) Yield assistance: contacting students who have been selected as Park Scholars to encourage them to accept, and/or presenting the Park at new scholars’ high school award ceremonies Other (please specify): Question Title * 10. If you are interested in visiting specific high schools in your area (or another region), please list them here: Question Title * 11. (For current Park Scholars only): If you have not already completed Park Ambassador training, please indicate which training session you will attend. Wednesday, September 13 from 5:15-6:15 PM (Park Block) in Winston 029 Thursday, September 14 from 12:15-1:15 PM in Peele 208 Question Title * 12. Questions? Comments? Suggestions? Submit