Application for Candidacy
Name__________________________________ Today’s Date
Student ID #
Local Address
Local Phone _____________________ E-mail Address
Expected Date of Graduation ____________ Current Year Status
Major(s) ____________________________________ Minor(s):
Home Address
Home Phone
Deadline:
Applications along with cover letter, resume, and references are due by Friday, November 18.
Interviews will be conducted on Thursday, December 1 between 6:00pm – 8:00pm. You will be notified
via email if you are selected to be interviewed.
By signing this form, I release all information pertaining to my academic and judicial standing to the
Advisor of the Presidential Ambassadors. All information included in this packet is true and completed
to my knowledge and I recognize that if anything within this packet is found to be false I will be
disqualified from candidacy into the Presidential Ambassadors.
Signature: Date:
Office Use Only:
Recvd App.: Res.: Nom. By: Credits: _
Recvd by: CL: Rec.: GPA: Judicial: _______
Int.: Date: Time: