2008 Youth Ambassador for College Opportunity Sign-up Form

Fill out this form to Sign-up to become a Youth Ambassador!
Please do not Sign-Up more than one time.
If you need to correct information that you previously sent, please email info@collegecampaign.org with the subject "Please correct my Youth Ambassador Sign-up Form" and then let us know the email address you registered with initially and whatever updates you may have.

Please note the following details:

Complimentary t-shirts will be provided to all youth who attend the Youth Ambassador Training.

Mileage reimbursement will be available to those traveling more than 20 miles to the training.

A meal will be provided to all participants at the training.

To download a PDF of this form to mail click here (please note: We prefer you to submit the online form below. Please submit only one form, either online or printout).

(*an asterisk is next to fields that are required)

First name:*

Last name:*

Birthdate (MM/DD/YYYY): * (must use slashes)

Home Address:

Address1:*

Address2:

City:*

State/Province:*

Zip Code:*

Your Email address:*

If you don't already have your own email address, learn how to get one - you will need it to complete your registration.

Please enter your Email address again:*

Home Phone:*

Cell Phone:*

School Information:

Grade (for example: "9" for ninth grade):*

Name of School *
(for example: "Winn Middle School"):

is this a: *

T-Shirt Information:
(you will receive your T-shirt for FREE at the training)

Do you want Regular Cut or BabyDoll? *

What Size do you want? *

A parent/guardian is welcome to attend.

Will an adult be attending with you? *

If yes, what is their name?

What is their relationship to you?

*click only once, you will then be asked to confirm your information. An email will be sent to you confirming your Sign-Up.