Returning Ambassador Application | Worcester State University

[...] About President’s Office Presidential Student Ambassadors

Returning Ambassador Application

Application for Returning Presidential Ambassador

If you are applying and are currently an Ambassador please fill out this form.

"*" indicates required fields

Name*

First Middle Last

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dorm & Mailbox #

Student ID Number*

Cell Phone

Email*

Housing Status*

Resident

Commuter

Major

Minor

Anticipated Graduation Year*

Cumulative GPA*

Do you plan on studying abroad next fall or spring semester?*

Yes

Are you currently employed on campus?*

Yes

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.

Why do you want to return to be a PSA? What does it mean to you to be a returning PSA? How is that different from being a new PSA?*

What Leadership skills, or personal characteristics would you like to strengthen as a returning PSA?*

What you would you tell a new PSA about what it means to be a PSA?*

What topics would you like to see in training this year?*

Ambassador Questions may be submitted to:

studentambassadors@worcester.edu
Or by calling 508-929-8020

Attention, you must be 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 Number*

Student Signature*

First Last

Date

Are you a robot?

Contact the Presidential Student Ambassadors

Presidential Student Ambassadors

studentambassadors@worcester.edu

508-929-8020

Nikki Kapurch

nkapurch@worcester.edu

508-929-8201