WVU-P Student Ambassador Application Form

  


All interested students must have a college GPA of at least a 3.0 and be enrolled in at least 9 credit hours as an applicant.
Student Ambassador Application Form  

Please Fill Out ALL Fields
First Name:  
Last Name:  
Where are most of your classes taught?
  Expected Graduation Date?  
  Date of Birth:  
  Age:  
  Current Cumulative GPA:  
  Program of Study:  
  Address:  
  City:  
  State:  
Zip Code:  
Phone:
(Include the Area Code)

 
 
Email:
 
 

Other College Activities you participate in:


  Why do you wish to become a Student Ambassador and why would you be a good fit for the program?  

References:
  ** Please provide three references, two of which should be faculty or staff of WVU Parkersburg.  
Reference # 1:
Name:  
Title:  
Phone:
(Include the Area Code)

 
 
Email:
 
 
Reference # 2:
Name:  
Title:  
Phone:
(Include the Area Code)

 
 
Email:
 
 
Reference # 3:
Name:  
Title:  
Phone:
(Include the Area Code)

 
 
Email:
 
 

*** IMPORTANT ***
PLEASE FORWARD A COPY OF YOUR CURRENT SCHEDULE TO AMY DENNIS IN THE STUDENT WELCOME CENTER.
  Additional comments, questions, or concerns:  
       
     







Office of Enrollment | 300 Campus Drive, Parkersburg, WV  26104-8647
Phone: (304) 424 - 8310 | Fax: (304) 424 - 8332 
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