Campus Mental Wellness Ambassador Registration
Register to become a Campus Mental Wellness Ambassador and support mental wellness initiatives on campus.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Academic Year / Standing
*
Please Select
Freshman
Sophomore
Junior
Senior
Graduate Student
Other
Department / Major
*
Why are you interested in becoming a Campus Mental Wellness Ambassador? Please share your motivation or relevant experience.
*
Which days are you generally available for ambassador activities? (Select all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Register
Should be Empty: