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Classification:

Date:

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First Name:

Last Name:

Email Address:

Home Address:

City:

State:

Postal Code:

School Address:

City:

State:

Postal Code:

School Telephone:

Cellular Phone:

Can you receive Text Messages?:

Major:

Minor:

Academic Level:

Classification:

Overall GPA:

Do you work?:

How many hours per week?:

Please specify all evenings that you have prior commitments?:

How did you first hear of Student Ambassadors and why did you choose to apply?:

Why is it important for students to be involved on campus?:

If selected as a Student Ambassador, what qualities and/or ideas could you contribute?:

How would you promote BHSU, and why did you choose BHSU?:

If selected as a Student Ambassador, what do you hope to gain from the experience?:

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