INTO OSU Cultural Ambassador Conversant Program Application
Name (Last, First)
*
Last Name
First Name
Affiliation
*
OSU Student
Campus Employee
Community Member
Major/Occupation
*
Year in school
*
Freshman
Sophomore
Junior
Senior
Grad School / Other
N/A
OSU ID#
*
Do you identify as:
*
Male
Female
Other
Age
*
ONID E-mail(required for students)
OregonState.edu Email(required for employees)
E-mail(required for community members)
Nationality
*
Cell Phone #
*
-
Area Code
Phone Number
Other Phone #
-
Area Code
Phone Number
Why are you interested in becoming a Cultural Ambassador?
Do you have any previous experience working with international students?
Yes
No
If yes, in what capacity?
Who would you be willing to meet with?
*
Both male and female students
Male students only
Female students only
Do you plan to receive class credit for completing this program?
*
Yes
No
If yes, for what class?
How did you hear about this opportunity?
*
Email
Campus Presentation
Flyer/Poster
Word of Mouth
Website
Professor
Are you a returning Cultural Ambassador (or Conversant Program Volunteer)
*
Yes
No
If yes, please list previous dates of participation.
Additional Information or considerations:
Submit
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