Senior Ambassador Application

Name: _____________________________ Email: _____________________________

Address: _______________________________________________________________

City: _________________ State: __________________ Zip: ______________________

Phone Number: ______________________ School: ____________________________

List 3 Friends who would be interested from the Class of 2016

 Name: _____________________________ School: _____________________________

                Email: _____________________________ Cell Phone: ____________________

                  Address: __________________________________________________________

                City: _________________ State: __________________ Zip: ________________

 Name: _____________________________ School: _____________________________

                Email: _____________________________ Cell Phone: ____________________

                  Address: __________________________________________________________

                City: _________________ State: __________________ Zip: ________________

 Name: _____________________________ School: _____________________________

                Email: _____________________________ Cell Phone: ____________________

                  Address: __________________________________________________________

                City: _________________ State: __________________ Zip: ________________

Extra Curricular Activities (Include offices held, sports, clubs, and organizations)

_______________________________________________________________________

_______________________________________________________________________

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In your own words, why should you be chosen as an Ambassador?

_______________________________________________________________________

_______________________________________________________________________

Parent/Guardian Name(s): _________________________________________________

Address (if different): _____________________________________________________

City: _________________ State: __________________ Zip: ______________________

                Please note that very few students will be selected this year to be ambassadors. We are looking for well rounded students with outgoing personalities, who are extremely photogenic, and who have a large desire to show off their images. Please understand we cannot select everyone.

I have read and understand the program and deadlines for the ambassador program through Anthony Marinakos Photography and agree to participate to the best of my ability.

   

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                             Applicant’s Signature                                  Date       

 

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                           Parent/ Guardian Signature (REQUIRED)                        Date