Ambassadons

 

 

 

 

 
Ambassadon Application

* All Fields are Required
* Name:
* Student ID:
* Gender:
 Male
Female
* Email:
* Local Address:
* Home Address:
* Home Phone:
* Work Phone:
* Current Class:

Senior
Junior
Sophomore
Freshman

* Cumulative GPA:
* Intended Major:
   

* Leadership Activities in High School and College: (Participation and Offices)

* Anticipated Activities/Employment the rest of this year and during the summer: Please include time commitment.

* List Current or Past Campus Employment:

* Please list two references (excluding family members)


Name Relationship Phone Number
*Group Information Session for 2008 Ambassadon Class
Please select one:
March 3, 2008 Walb Union 227 4:00-5:00pm
Alternate Time Needed Walb Union 115 TBD
 
                                                                   

For more information about the Ambassadon program please contact:

Laura Zeigler, Program Chair
Assistant Director, Admissions Office
Kettler Hall 111
260-481-6954
zeiglerl@ipfw.edu