Aggie Catholic Ambassador - Membership Application

Please return completed application to the front desk of St. Mary’s by Sunday, April 9, 2017.

For questions, please contact Allison Seibert at or (979) 846-5717.

Applicant Information
Name:
Email:
Cell: / Date of Birth:
Parent’s Names:
Permanent Address:
City: / State: / Zip:
Education & Employment Information
College:
Degree or Program: / Class Year:
How many credits are you taking in the fall semester?
Current Employer:
How many hours do you typically work per week?
Extracurricular Activities
Please list extracurricular activities you currently participate in, including groups at St. Mary’s you are affiliated with:
Please list leadership positions you will be holding at St. Mary’s next year the points associated with those roles:
References (Please list two):
Name & Relationship / City, State / Phone
Application Questions
Please tell us why you want to be an Aggie Catholic Ambassador (attach additional page if necessary):
Summarize any relevant skills and qualifications you have acquired from school, employment, volunteer work, or through other activities, such as hobbies or sports (e.g. Leadership skills, communication skills). Attach additional page if necessary.
Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as an Aggie Catholic Ambassador, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal:
Signature:
Printed Name: / Date: