Public Health Ambassador Interest form

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What is your first and last name? *

Which year are you in college? *

Freshman

Sophomore

Junior

Senior

Grad School

What is your major/minor? *

What is your SLU email? *

Are you studying on campus/willing to come to campus for this program? *

Yes

Other:

What areas of campus are you familiar with? *

Main campus

South campus

Medical campus

Law campus

Required

How many hours would you be willing to commit to the program? *

2 or less

2-5

5-9

10+

Required

Which part(s) of the ambassador program are you interested in? *

Auditing (data collection)

Data management

Data analysis

Reports to the university

Peer education

Required

Submit

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