| Name: |
|
| Home Address: |
|
| City: |
|
| State: |
|
| Zip: |
|
County of Residence
(only for Iowa, Illinois or Wisconsin resident): |
|
| Email: |
|
| Major(s): |
|
| Most Recent Cumulative Grade-Point-Average: |
|
| High School Attended: |
|
| Are you married or have dependents? |
Yes N |
| Are you a child of a police officer or fire fighter? |
|
| Employer and/or Clarke Professor Who Will Submit Letter of Recommendation: |
|
| Employee's Email: |
|
| Briefly explain your career plans/goals: |
|
|
| Briefly explain any volunteer work or community service projects you are involved in: |
|
Essay (approximately 300 words):
Subject of the essay is: Each Clarke student is an ambassador of Clarke University. Please explain how you are an ambassador of Clarke University and how your actions strengthen the institution. |
|
|
|