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Community College  1350 West Street  Pittsfield, MA  01201
(413) 236-1662   Student Government Ambassadors  Application
Information  Name:  ______________________________  Mailing
Address:________________________   Academic
Information                                         List of
References and Telephone Numbers  Major:________________________
___       I._________________________________   Anticipated
Graduation Date:__________     
III._________________________________  
 (faculty, staff or current employer)  Please respond to the
following question in the space provided.  Your answers do not
need to be extensive in length; however they do need to answer
the question completely.  1.  Please list activities that you
have been involved in and what strengths you would bring to the
     Ambassador Program.      By signing this document you
acknowledge