Request an Ambassador | Worcester State University

[...] About President’s Office

Request an Ambassador

Presidential Student Ambassadors Appearance Form

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Requestor Info

Name*

First Last

Departments*

Name of Event*

Date of Event*

Time of Event*

Location of Event*

Detailed Event Description*

Please provide as much information as you can. Include people attending event and purpose of the event

Event Contact

Please provide a person for the PSA Coordinator to contact if there are any questions prior to the event.

Name*

Role/ Title

Office Number*

Cell (Optional)

Email*

PSA Event Contact

Please provide the contact info for the individual that the PSAs should connect with when they arrive at the event. This person should be someone that will be in attendance at the event.

Name*

First Last

Cell Number (Optional)

Email*

Ambassador Request

Number of Ambassadors*

Please enter a number less than or equal to 15.

(up to 12)

Ambassador Arrival Time*

Departure Time*

Appropriate Attire for PSA:

Formal Event Attire: Dress/Nice blouse & skirt, Suits with button down shirt & a tie, Dark colored dress shoes

Full PSA Uniform: Blazer, Khakis, Dress Shoes

Casual: PSA T-Shirt, Jeans or Khakis, Sneakers, Windbreakers

Other

How would you like the Ambassadors to help?

Please provide any details that you can about what the PSAs will be doing at the event.

What could the PSA gain by helping at your event?

Are you a robot?