Online Request Form for Student Ambassadors

First Name (required)

Last Name (required)

Title (required)

Email Address (required)

Organization

Phone Number (required)

Cell Phone Number (*If off campus event)

Event Details

Event Description * (required)

Date of Event* (required)

Start Time of Event


End Time of Event

Event Location* (required)
-If on campus, building and room number
-If off campus, street address, city, state, zip
Submission of the form does not guarantee approval of request or availability of the Student Ambassadors. The requestor will be contacted with a response by the Associate Vice President for Student Affairs or Student Ambassador Advisor(s).

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