Park Ambassador Interest Form 2019-2020

Thank you for your interest in becoming a Park Ambassador!

Please take a moment to answer a few questions.

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* 1. Last name:

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* 2. First name:

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* 3. Email:

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* 4. Mobile phone number (XXX-XXX-XXXX):

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* 5. City of residence (current Park Scholars, list home city):

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* 6. State of residence (current Park Scholars, list home state):

Other (please specify):

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* 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):

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* 8. What is your or your student's Park class year (if applicable)?

Other (please specify):

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* 9. What type(s) of recruiting efforts interest you?

High School Visits

College Fairs

NC State Open House (October 19, 2019)

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 11-12, 2020)

Assisting with non-evaluative activities during Park Finalist Weekend (February 21-22, 2020)

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):

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* 10. If you are interested in visiting specific high schools in your area (or another region), please list them here:

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* 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 18 from 5:15-6:15 PM (Park Block) in Winston 029

Thursday, September 19 from 12:15-1:15 PM in Peele Hall, Park Commons

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* 1. Last name:

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* 2. First name:

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* 3. Email:

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* 4. Mobile phone number (XXX-XXX-XXXX):

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* 5. City of residence (current Park Scholars, list home city):

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* 6. State of residence (current Park Scholars, list home state):

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* 7. What is your affiliation with NC State and/or the Park Scholarships program? (Choose all that apply.)

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* 8. What is your or your student's Park class year (if applicable)?

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* 9. What type(s) of recruiting efforts interest you?

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* 10. If you are interested in visiting specific high schools in your area (or another region), please list them here:

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* 11. (For current Park Scholars only): If you have not already completed Park Ambassador training, please indicate which training session you will attend.

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* 12. Questions? Comments? Suggestions?