Health Studies Student Ambassador Application

Health Studies Students will need to complete the application to be considered as a HLST Student Ambassador. Specify major concentration: HSMM, HSPP, or DLHS

Name: *

CWID: *

Email: *

Date: *

Month

Day

Year

Major: *

Grad Year: *

ACTIVITIES/ORGANIZATIONS

Please list activities/organizations you have been involved in. Briefly include information about your roles in the activity and what you gained through your participation.

GOALS

Describe your short- and long-term goals, professionally and personally.

APPLICANT QUALITIES

Why are you interested in becoming a HLST Student Ambassador?

By submitting this form, I certify that the information provided on this application is true and accurate.

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

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Brief interviews with Dr.D may be required. Students selected as HLST Student Ambassadors will be notified usually within one week.