2027 Junior HS Ambassador Application
**YOU MUST HAVE PERMISSION FROM YOUR PARENT(S) TO APPLY - THEY WILL RECEIVE A PHONE CALL FROM ME**
Name
First Name
Last Name
Age
Class of
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email Address
example@example.com
What school will you graduate from?
Your parent's name
First Name
Last Name
Your parent's phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Your parent's email address
example@example.com
Are you involved in any hobbies, sports, or extracurricular activities? If so, what?
Attach a photo of you for my files. Applications are not judged on images submitted.
Browse Files
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of
Are you on Instagram?
Yes
No
What is your Instagram name?
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Should be Empty: