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Ambassador Club Application Form

School Year 2013-2014




Name: Grade:

Email Address:

Home Phone Number: Cell Phone Number:


Class
Period
Subject Room # Teacher Estimated Average
1
2
3
4
5
6


**Please attach a copy of your 4
th
quarter report card from the previous school year (SY 2013-
2014)

1. Do you have any disciplinary referrals against you (for attendance, behavior, etc) from
this and/or previous year? * If yes, please do not answer the following questions and try
again next year.*



2. Why do you want to join the Ambassador Club?




3. Name three characteristics that make you stand out from the other applicants and how
those characteristics will help improve the clubs status.






4. What are your weaknesses?
5. If you have a set goal of 50 grams, how many are you able to sell in 2 weeks?




6. What are some community service ideas you would like to participate in this school year?




7. On a scale of 1-10 how well do you work under pressure? (ex. Setting up for Japanese
Exchanges on the morning of.)



8. Ambassador Club is known for having our monthly Student Exchanges. Are you open to
meeting new people?



9. How did you come to know about the Ambassador Club? If you were referred by
someone, who?





10. If you are not chosen to be in the club, will you continue to work on improving your
current status to reapply for the next school year?





I, __________________________,


Hereby acknowledge that all given information is true and that the answers placed in
this application are of honest intentions.
Have read the club constitution and understand it and if accepted, will abide by the
terms set up by the constitution.
Am aware that filling out this application form does not guarantee acceptance into the
Ambassador Club

__________________________
Applicants Signature

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