University Ambassador Application
Name
Address
City
State
ZIP
Phone
Email
Fluency in language other than English
How did you hear of this position?
Academic Information
Major
Minor
Previous Semester GPA
Cumulative GPA
Class Level
Please select...
Freshman
Sophomore
Junior
Senior
Expected Graduation Date
Did you transfer to Black Hills State University?
Yes
No
Have you been awarded Federal Work Study for the Current Academic year?
Yes
No
Applicant Questions
Why are you interested in serving as a Yellow Jacket Delegate?
Please list prior or current leadership or volunteer involvement; describe your responsibilities, and how these experiences would assist you in the position.
What do you believe are the three most important qualities that should be possessed by a Yellow Jacket Delegate?
Reference 1
Name
Title
Email
Phone Number
Reference 2
Name
Title
Email
Phone Number
I attest that the information I have provided in this application packet is true and accurate to the best of my knowledge. I give permission to have my BHSU academic and disciplinary records checked as a condition of this position.
I Agree
Signature
Date