University Student Ambassador Application 2017 (Please type or print neatly) Name: ______PSU ID#:______

Local Address: ______Phone: ______

______Email Address: ______

Classification: ___Freshman ___ Sophomore ___Junior ___Senior ___Grad (this must be at least your 2nd sem. at PSU to apply)

Major: ______Minor:______Cum. GPA: ______(minimum 2.5 cumulative GPA to apply)

Anticipated PSU Graduation Date:______

Will you be available for both the fall 2017 and spring 2018 semesters? ____YES ___ NO

HONORS and ACTIVITIES (Freshmen may include any high school activities they feel relevant and transfer students may include activities at a different college. Use only the space provided.)

______

______

______

______

______

______

______

______

______

______

______

______

______

______OVERīƒ  PAGE 2

Applicant Name: ______

Reference (Please list two--may be faculty, staff, or current Ambassador)

1) Name: ______Phone or email: ______2) Name: ______Phone or email: ______

You are being interviewed for a news story about your experience at PSU. What would you say about PSU? (Use only the space provided.) This portion will be evaluated based on creativity and uniqueness of response.

______

______

______

______

______

______

______

______

______

______

______

______

Note: The Office of Admission reserves the right to use any quotation for future University publications. All applicants MUST attend ONE selection session. Sorry, no exceptions. * (Sessions will take place in The Overman Student Center)

PLEASE CIRCLE ONE:

Tuesday, March 14th Wednesday, March 15th 4:00 - 6:00 p.m. 6:00 - 8:00 p.m. Overman Student Center Overman Student Center

Please return the completed application to the Office of Admission, 107 Horace Mann, by 4:30 pm, Wednesday, March 8, 2017 You may also email it to [email protected]

You will receive a confirmation email sent to the address you listed on this application. ****If you do not by Thursday, March 9, email Melinda Roelfs at [email protected].****