High School Student Ambassador Application

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APPLICATION

Application School Year *

2026-2027

Student's First Name *

Student's Last Name *

Student's Email *

Student's Phone *

Student's IG Handle

Student's TikTok Handle

SCHOOL INFORMATION

Rising Grade *

Partnering School Name *

Current School

Parent Information

Name of Parent(s) *

Parent Email *

Parent Phone *

Parent Social Media Handles (IG & LinkedIn)

Committee Selection

As a Student Ambassador, you'll choose one of the following committees to support, or you can opt to contribute to social media content instead.

Which committee would you like to work with? *

Are you available on 8/13 and 8/14 for an in-person event? Your response will not affect your selection opportunity. *

Select your preferred mandatory training date *

Short Answer Questions (2–3 sentences each):

Why do you want to be a PSV Student Ambassador? *

How will you engage your classmates and get them excited about PSV? *

How will you work with your co-Ambassador to get information and participation from students at your school? *

before you submit

Complete both required forms before submitting your application. If you are under 18, your parent or guardian must review and complete them with you. Links to the required forms are provided in the Student Ambassador information above.

Waiver and Image Release Form *

* Drop file here or click to upload

MOU Agreement *

* Drop file here or click to upload

Intro Video

Use a clear background, show your personality, record vertically. State your name, school, and grade. Keep your answer to about 1 minute.

Why did you choose the committee you selected (or, if contributing social media content instead, what type of content do you plan to create), and how do you plan to stay engaged with it throughout the year? *

* Drop file here or click to upload

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High School Student Ambassador