Admissions Alumni Ambassador Program Form

Please complete the form below to sign up for the Alumni Ambassador Program with the UC San Diego Office of Admissions.

First Name*

Last Name*

Email Address*

Cell Phone Number*

Can we text you?*

Yes

No

Graduation Year*

Degree Received (select all that apply)*
You Can Select Multiple By Ctrl+clicking for Windows, Cmd+clicking for Mac.

If other, please specify?*

What was your major?*
You Can Select Multiple By Ctrl+clicking for Windows, Cmd+clicking for Mac.

If other, please specify?*

College Affiliation*

Current Job Sector

If other, please specify?*

Address *

Country

Street

City

Region

Postal Code

First Generation College Student?
Neither parent had a four-year college degree

Did you transfer to UC San Diego?
From another institution or California Community College

What do you hope to gain from the experience of being an Admissions Alumni Ambassador?

Have you previously participated in an Admissions event (i.e. fair, keynote speaker, panelist, etc.)?*

What was the name/type of event?*

What was your role at the event?*

What was the event date/year?*