CHP Student Ambassador Application Summer 2024

CHP Student Ambassador Application 2024

Question Title

* 1. First Name

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* 2. Last Name

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* 3. Academic Program (Select One)

Anesthesia for Nurses

Cardiovascular Perfusion

Speech-Language Pathology

MS in Health Administration

Occupational Therapy

Psychical Therapy

Physician Assistant

Other (please specify)

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* 4. Graduation Semester/Year (Ex: Spring XXXX)

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* 5. Contact Information

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

MUSC Email Address

Phone Number

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* 6. Undergraduate University or College

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* 7. Undergraduate Major

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* 8. Date of Birth

DOB

Date

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* 9. Are you the first person in your family to have attended college?

Yes

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* 10. Hometown

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* 11. How would you best describe your hometown? (Check all the apply)

Rural

Small Town

Suburban

Metropolitan

Outside of the US

Other (please specify)

CHP Student Ambassador Application Summer 2024

CHP Student Ambassador Application 2024

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Academic Program (Select One)

Question Title

* 4. Graduation Semester/Year (Ex: Spring XXXX)

Question Title

* 5. Contact Information

Question Title

* 6. Undergraduate University or College

Question Title

* 7. Undergraduate Major

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* 8. Date of Birth

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* 9. Are you the first person in your family to have attended college?

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* 10. Hometown

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* 11. How would you best describe your hometown? (Check all the apply)

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* 12. Tell us why. you are interested in becoming a CHP Student Ambassador

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* 13. Share with us EITHER your biggest challenge in transitioning to MUSC OR your best moment at MUSC

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* 14. Please share how your previous leadership, academic, and/or volunteer experience that will benefit you in the Student Ambassador program.

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* 15. Is there anything else you would like to share with us? (Optional)