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President's Office

  • Application for New Presidential Ambassador

    If you are applying for the first time to be an Ambassador please fill out this form.

    First


    Middle


    Last


    Home Address


    Dorm & Mailbox # (If you live on campus)


    Student ID Number


    Cell Phone


    Email


    Housing Status

       


    Major
     

    Minor 


    Anticipated Graduation Year

     
    Cumulative GPA

     
     Are you currently employed on campus?

       

    Hours per week?
     

    Please list below your on campus employment information
     
    Campus Office


    Supervisor


    Work Schedule

     
    Please list any off campus employment

    Employer


    Supervisor


    Work Schedule


    Please list any other campus activities/clubs/sports you are involved in.
     

     
    If selected as a Student Ambassador, what qualities and/or ideas could you contribute?


    If selected as a Student Ambassador, what do you hope to gain from the experience?


    What does being an ambassador mean to you?


    Please provide the name of 2 faculty or staff members you would like to use as a reference, they should each submit a letter of recommendation. Letters of recommendation can be submitted via email to studentambassadors@worcester.edu or by interdepartmental mail to Katie Landry in the President's Office. Letters of recommendation should answer the following questions:

    • How has this student displayed initiative?
    • What would you consider this student's key strengths?
    • Explain how this student is a team player.


    Reference 1

    Name


    Department


    Email


    Phone


    Reference 2

    Name


    Department


    Email


    Phone


     Ambassador Questions may be submitted to:

    Attention, you must available to attend all regularly scheduled bi-weekly meetings during the academic year.

    I have read the above requirements. I also give permission for you to verify my GPA with the Registrar’s office, Judicial Records, and to request a CORI check. I hereby authorize said institutions to release these forms.

    Student Name

     
    Student ID #

     
    Student Signature


    Date