Name *

E-mail address *

Phone *

How did you find out about the KAB Ambassador program? *

School you are currently attending *

Grade level during the coming academic year *

Enter required value Sophomore Junior Senior

Expected date of graduation *

Major/degree working toward *

Your overall GPA *

Name of department head, advisor or counselor *

Department head, advisor or counselor's email address *

What clubs/activities, do you currently participate in and what offices do you hold (if any)?

Have you ever participated in KAB student activities/programs?

(Ex. scholarship program, student seminar, student awards)

Why would you be a great KAB Ambassador? *

Which social media platforms are you currently on? How often do you post? *

Please list handles for each platform.

How would you engage students with KAB programs? *

What field of broadcast are you interested in? *

Are there any Kansas stations that you would be excited to connect with?