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Student Ambassador Program Application 

Semester Applying for:  

 Personal Information

First Name: 

Last Name: 

G Number: 


Street Address: 

City:   Zip Code: 

Home Phone: 

Cell Phone: 

Email Address: 

 Previous School (s) Attended
Include high school for recent graduated and/or previous colleges for transfer students

School Name:  Dates Attended: 
School Name:  Dates Attended: 

Do you speak any other languages besides English? If so, please enter here: 

Required Criteria

Number of credits completed at RVCC: 
(You must have completed at least 15 credit hours at RVCC to qualify) 

Number of credits registered for the upcoming semester: 
(You must be a full-time students with 12 credits or more)

Cumulative GPA: 
(Cumulative GPA must be 3.0 or better or to qualify)

Attachments must be emailed directly to studentlife@raritanval.edu immediately following the submission of this application.  

Personal Statement: 
(Please attach a 1 page typed cover letter to address why you're interested in becoming an ambassador)

Written recommendation letter from RVCC faculty or staff member:
(Please attach a 1 page typed recommendation letter)

(Please attach an updated copy of your resume)



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