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Student Ambassador Request Form

 * = Required Field
 
 * Activity Name:  
 
 * Date(s):    
 
 * Time(s):    
 
 * Activity Location:  
  (Examples: Student Cafeteria, Admissions Office, Nuevos Horizontes, Dailey Center)  
   
       
                (includes any Triton satellite campus locations such as Nuevos Horizontes or Triton Community Center at Ridgewood High School)
 
  Off-Campus Location Address (include City, State and Zip Code if needed)
     
 
 * Number of Ambassadors
 
      
   
 * Activity Coordinator:  
 
 * Extension:   (Enter "0000" if no extension)
 
 * Email:  
 
    Duties
     
 
    Description of Event