Ambassador Program
Enrollment Form

Please complete and submit below. An attaché bag will be ready for you to pick up when you attend your second Ambassador class.

Name:   Phone: 

*Campus Wide ID"ONLY"(No Dashes)

Email Address:

Department: 

Campus Address: 

Supervisor’s Name:  Phone: 

Departmental Account #:

CANCELLATIONS
In fairness to all attendees, confirmed participants who do not attend their scheduled seminar will be charged the entire fee unless a 48-hour cancellation notice is given.  For a no charge seminar, a $10.00 processing fee will be applied for those who do not attend.  In most cases, a substitute may be sent in your place.