Student Ambassador Scholarship Application

Personal Information

Student ID Number:
Name: First:      Middle:      Last:
Address: Street:
City:  ,  State:       ZIP: 
Phone:

( ) - -

Date of Birth: / /

Academic Information

Academic Status:
Major:
Cumulative GPA:
Are you a Transfer Student?

YES   NO

Questions

What are your career plans? 
List any campus and/or community activities including any awards received. 
List all work experiences including internships, work-study, part-time jobs, summer jobs, etc. 
Define the role of a Student Ambassador as you perceive it.