College of Health and Human Services Ambassador Application
College of Health and Human Services Ambassador Application
Student Name
Student Name
*
First
Last
Student E #
*
Major
Communication Disorders and Sciences
Human Services
Kinesiology, Sport, and Recreation
Nursing
Public Health and Nutrition
Option if applicable (e.g., Exercise Science, Pre-PT, EX Sci: Pre-OT, Ex Sci: Pre-At, Sport and Recreation Management, Physical Education Teacher Certification, Community Health, Emergency Management & Disaster Preparedness)
Minor(s)
Grad Status/Classification
First Year
Sophmore
Junior
Senior
Grad
Your hometown (City, State or Country if not in US)
Statement of Interest
Email for faculty/advisor who would serve as your reference
*
Please choose the Department who you wish to represent as an Ambassador.
*
Communication Disorders & Sciences
Human Services
Kinesiology, Sport, and Recreation
Military Science
Nursing
Public Health & Nutrition