Name:

E-mail (necessary in order to process this form):

Campus address:

City:

Zip Code:

Campus Phone:

Birth Date:

Anticipated Graduation Date:

Year in School

College/Major:

Will you be on campus for the next academic year?
Yes No

GPA
 A cumulative GPA of 2.5/4.0 is required.

Activities, Honors and Awards

Please list all college activities (and relevant high school involvement) that demonstrate your leadership and organizational skills. Please include activities in order of importance. If you are a member of a fraternity or sorority, please label it “social” and omit the name of the organization.

Please include any honors, awards and scholarships you have received that should be considered.

Questions

You may wish to type your answers in another application and paste them here.

1. What defines a successful organization?
(Limit this answer to 3-5 sentences)

2. What unique skills or abilities do you have to contribute that will help make an organization successful?
(Limit this answer to 5-7 sentences)

3. How can a small group of people with limited resources, such as the Student Alumni Ambassadors, effectively connect with the University of Illinois community?
(Limit this answer to about 300 words)

Applicant Survey (optional)
This survey will not affect your membership eligibility. Results are used for an analysis of SAA's recruitment efforts.

Gender:
Select one .... Male Female

Place of residence
Select One ... University Residence Hall Fraternity or Sorority House Private Certified Housing Apartment Other
Other:

Ethnic background
Select One ... African-American Asian-American Caucasian Hispanic Native American Other
Other:

How did you learn about SAA?
Select One ... The Daily Illini Friend/Relative Illini First Nite Homecoming Programs Other
Other: