Student Envoy Application

Applicant Information

Full Name*

First NameLast Name

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Current Grade:*

Current GPA: *

About You

Why are you interested in becoming a Student Ambassador?*

Are you bilingual? If so, please list the languages (other than English) that you are able to read/write. *

What experience have you had working, living, or going to school with people who are different from yourself, and how might this help you as a Student Ambassador? *

Are you comfortable speaking in front of groups? What is your experience presenting in front of groups? *

Have you ever been in a leadership position? If so, please explain.*

Are you involved in any clubs or sports, or currently working at a job? If so, please list them.*

Each student applying for the Student Ambassador Program will need a recommendation from ONE current teacher and ONE ADULT OF CHOICE (other than guardian). Please provide informtation for those willing to give recommendations. The recommendation form will be emailed to them directly.

CURRENT TEACHER- EMAIL ADDRESS:*

ADULT OF CHOICE- EMAIL ADDRESS:*

Student Ambassador Application