Lion Ambassadors Membership Application

First Name:

Last Name:

Address:

City:

State:

Zip/Postal Code:

Country:

Phone Number:

(5701234567)

PSU Email Address:

Major/Degree or Area of Interest:

Are you employed?

Yes

Current Employment:

If applicable, list current employer, hours per week, and duties.

Class Standing:

For the upcoming fall semester

First Year

Second Year

Third Year

Fourth Year

High School Activities:

First year students, please list your high school activities.

Current Students" College Activities:

Current students, list current or projected college activities.

Leadership Roles:

Please describe a time/event when you acted in a leadership role. (Being a leader does not always imply that you were the president/organizer,coordinator/captain.)

Your Interest and Strengths:

Please state why you would like to serve as a Lion Ambassador at Penn State Scranton and tell us what strengths you feel you will bring to our organization:

Why Penn State Scranton?

If a prospective student or alumnus were to approach you and ask about your choice to attend Penn State Scranton, what would you tell them?

Verification

Verification Complete

By selecting this option, I verify that the information provided for the Penn State Scranton Lion Ambassador program application is true. I understand that if at any point during the application process any information is found to be false, I will be removed from consideration.