Alumni Ambassador Application

Full Name*

First NameMiddle NameLast Name

Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email Address*

Phone Number

Area CodePhone Number

Social Security Number*

Required for background check

Birthdate*

Required for background check

Years at MMA*

Please list what year(s) you attended

MMA is committed to recruiting and enrolling a diverse student body that is representative of the world in which we live. We recognize that some alumni might have a special interest in recruiting students from various populations.

Special Interests

Acknowledgment

Please read the following items thoroughly and acknowledge your agreement by checking the appropriate boxes and providing your signature below.

Non-Discrimination Agreement

Missouri Military Academy prohibits discrimination against and/or harassment of applicants, students, faculty or staff on the basis of race, religion, national or ethnic origin, age, sex, sexual orientation, disability, status as a veteran or any classification protected by local, state or federal law. I agree to comply with Missouri Military Academy non-discrimination standards.

I hereby agree

Confidentiality Clause

In the course of their service, MMAAA volunteers will be privy to information that is sensitive or proprietary to the Office of Admissions or the school. They may also be privy to discussions of issues and ideas that are not intended to be shared outside of the Office of Admissions or those individuals included in the discussions. The Office of Admissions cannot function effectively unless confidentiality is maintained. I agree to comply with federal laws as well as Missouri Military Academy confidentiality procedures.

I hereby agree

Criminal Background Check

I understand that I will not be allowed to begin volunteer work for Missouri Military Academy until a criminal background check has been completed. By signing below, I hereby authorize Missouri Military Academy to conduct a criminal background check on me.

I hereby agree

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Full Name*

Date*

Date