Ambassador Program Application

Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Cell Phone :*
Email :*
Where the confirmation will be sent.
Campus you attend:*

West BurlingtonKeokukBoth
Blackhawk Ambassadors meet every week during the semester. What is your availability for meetings next semester (check all that apply):*

MondayTuesdayWednesdayThursdayFridayNot sure
Why do you want to be a Blackhawk Ambassador?
Give us your best answer but keep it under 147 words. :)
Social Media Usernames & Handles*
Please include your personal usernames/handles for all platforms that you use regularly, including Instagram, Facebook, Snapchat, Twitter, TikTok, LinkedIn, YouTube.
I permit SCC to follow my social media account. If my account is private, I will grant SCC rights to follow within a week of request.*

YesNo
Eligibility

Yeah, we do have a few reqiurements for eligibity.
Are you a current SCC student?*

YesNo
Is your GPA a 2.0 or above?*

YesNo
Are you in good academic and financial standing with SCC?*

YesNoIf no, explain
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
It is the policy of the Southeastern Community College not to discriminate on the basis of race, color, national origin, sex, disability, age, employment, sexual orientation, gender identity, creed, religion, and actual or potential family, parental, or marital status in its program, activities, or employment practices.

Read our full non-discrimination and accessibility statement at scciowa.edu.
Should be Empty:

Personal Data:

Eligibility