Student Ambassador Application

Name*
First Last
Student ID#*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
What language other than English do you speak fluently?*
Have you ever been convicted of any felony, misdemeanor drug charge, or a misdemeanor moral turpitude (sexual offense) crime?*
If you answered "Yes" to the previous question, please explain below.*
Expected Transfer/Graduation Date:*
Why did you choose to attend Rio Hondo College?*
A brief description of your educational goal:*
Please describe any co-curricular activities you are involved in:*
Additional information you want the selection committee to know:
Consent for verification of Student Records.*
I consent to have my student record reviewed for verification of my eligibility for this program.