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IRSC STUDENT AMBASSADOR APPLICATION
Name
*
First Name
*
Last Name
*
Student ID Number
*
Date of Birth
*
How many credit hours are you enrolled in this semester?
*
Is your GPA above 3.0?
*
Best phone number to reach you
*
(123)-555-1234 Add area code + number
Expected graduation date
*
Month and Year
Semester(s) available
*
Fall 2021
Spring 2022
Summer 2022
Check All
What is your availability during the semester?
*
Requires a meeting every other week, attending some collegiate events and a minimum of 15 service hours per semester.
What are you studying at IRSC?
*
e.g., AA in Business Administration, Medical Assisting, HVAC, etc.
Which is your home campus?
*
Massey, Fort Pierce
Pruitt, Port St. Lucie
Chastain, Stuart
Mueller, Vero Beach
Dixon Hendry, Okeechobee
Global, Online
What campus activities are you involved in?
*
Clubs, Honor Societies, Athletics, etc.
What social media platforms are you on?
*
Facebook
Instagram
LinkedIn
TikTok
Twitter
Snapchat
Other:
Other Value
How many friends/followers do you have on facebook?
*
How many instagram followers do you have?
How many connections do you have on LinkedIn?
How many followers do you have on TikTok?
How many Twitter followers do you have?
How many snapchat friends/followers do you have?
How many connections/friends/followers do you have on the platform you listed as "other?"
Help pick the group name!
*
#IRSCInfluencers
#PioneerPromoter
#PioneerInfluencer
#RiverReporters
Other:
Other Value
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