Student Ambassador Program
Return completed application to:
Office of Admissions
Attention: Emma Hawke
Moot Hall 110
1300 Elmwood Avenue
Buffalo, New York 14222
PLEASE TYPE OR PRINT NEATLY
Biographical Data
Name:______Date of Birth:______
Email Address:
Local Address:
Cell Phone:______
Home Address:
Gender: _____Male _____Female
Ethnicity:
_____African-American_____Native American
_____White, Non-Hispanic_____Asian or Pacific Islander
_____Hispanic/Latino_____Other (please specify)______
I am interested in part-time employment for (check all that apply): Summer 2018
2018-19 Academic Year
Previous School Information
I started at Buffalo State as a (check one): Freshman Transfer
Name of most recent 2 or 4 year school attended (transfer student applicants only) or high school: ______
Location of High School/College:
Graduation/Transfer Date:______Counselor Name (optional):______
College Information
I will have completed ______credits at Buffalo State at the end of the spring 2018 semester.
G.P.A.: ______Intended/Current Major:______
Have you been accepted into your School or Department? (please circle)YesNo
Academic Minor(s):______
Expected Graduation Date: (month & year)______
Clubs/Activities you have been or are currently involved in at Buffalo State College:
______
______
Leadership Roles you have/have had while at Buffalo State College:
______
______
Volunteer Activities (either at Buffalo State or in the community):
How did you find out about the Student Ambassador program and why are you interested in being a Student Ambassador?:
______
***Complete applications (this includes your recommendation, course schedule, and application) are due to Moot Hall 110 on Friday, March 9, 2018 for the 2018-2019 academic year.***
Student Ambassador Program
Applicant Reference Form
Applicant Name:______
To the Applicant: Please ask a representative of Buffalo State College to complete this reference form. Such persons may include, but are not limited to: academic advisors, hall directors, professors, and supervisors from employment. Please return this reference form with your application in an envelope sealed and signed by the reference.
To the Reference: This applicant is applying to the Buffalo State College Student Ambassador Program for the 2014-2015 academic year. Please complete this reference form and return it back to the applicant in a sealed envelope with your signature signed across the seal or send directly to Emma Hawke, Office of Admissions, Moot Hall 110. Thank you for your time.
Name: ______Title:______
Address: ______Phone:______
The Buffalo State College Student Ambassador Program is a student position approximately 35 students who assist in the promotion of Buffalo State College to prospective students, their parents and the high school guidance community. The Buffalo State College Student Ambassador program is sponsored by the Undergraduate Office of Admissions.
Questions: (Please use the reverse side of this form if needed.)
1. In what context and for how long have you known this applicant?
2. Based on your knowledge of the Buffalo State College Student Ambassador Program, how do you feel this applicant will represent the College and the Office of Admissions?
Rating Scale:(Please rate the applicant on the following rating system) / Top 1% / Top 10% / Above Average / Average / Below Average / N/A
Knowledge of BuffaloState
Enthusiasm
Analytical thinking
Public speaking skills
Ability to relate to others
Independence in thought
Professionalism
Honesty and Integrity
Reference Signature: ______Date: ______