Connect with a CIVICUS Ambassador
Congratulations on your invitation to the CIVICUS Living and Learning Program! If you are interested in connecting directly with a current CIVICUS Ambassador, in order to learn more about the program or ask specific questions, please complete the following form. We'll use your responses to match you with an ambassador who might share your interests or intended major!
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First Name *
Last Name *
What pronouns do you use? *
Preferred Email Address *
Phone Number, if you would like to be contacted by phone
What is your anticipated major? If you are undecided, simply write "undecided." *
City, State (City, Country, if outside the US)
Tell us about some of your interests or hobbies.
What would you like to know about CIVICUS?
How would you prefer to be contacted? *
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