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CIE Student Ambassador Application Personal Information First Name

Last Name

SSU E-mail Address

Contact Phone

Major:

SSU Club Affiliations:

I am a:

I identify as a:

CSU IP Program Alumni

Female

NSE or NSE Study Abroad Program Alumni

Male

SSU International Matriculated Student

Other

International Exchange Student NSE Exchange Student Other Where did you study or where are you from?

In which languages are you proficient?

For which position are you applying for? CIE Student Ambassador Marketing & Outreach Committee Chair Engagement & Community Building Committee Chair Special Programming Committee Chair

Transgender


Reference Please be sure to provide your reference with the link to the recommendation form: First Name

Last Name

E-mail Address

Phone

Work and/or Volunteer Experience Please list your previous work experience from most to least recent. If none, please leave blank. 1. Name of Company or Organization:

Dates of Employment:

Major duties and responsibilities:

Supervisor Name

Supervisor Contact Email:

Supervisor Contact Phone:

May we contact your supervisor? Yes No

2. Name of Company or Organization:

Dates of Employment:

Major duties and responsibilities:

Supervisor Name

Supervisor Contact Email:

Supervisor Contact Phone:

May we contact your supervisor? Yes No


Personal Statement Please type a personal statement addressing your personal background, unique qualifications, and reasons for applying to be a CIE Student Ambassador. If you are applying to a Committee Chair position, please include a paragraph on why you should be selected for the position. 500 word maximum.


SSU Ambassador Application