Student Ambassador Nominations Form

Name

Student ID

Address

City, State, Zip

E-mail

Home Phone #

Cell Phone #

Major

Expected Date of Graduation

Number of Hours Currently Enrolled

Total Hours

Current GPA

List of extracurricular activities/organizations you have been involved in at SCC

List community service and/or volunteer work you have done

Current commitment to other groups and organizations

Will you be employed during the academic year, and if so, where?

How many hours per week?

Why do you want to be a Student Ambassador?

What strengths will you bring to the Student Ambassador Program?

Will your schedule permit you to fully participate in the Student Ambassador Program?

Yes
No

Subject