Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Ambassador Application
Please complete this form as completely as you are able, but if you need to leave sections blank, we can fill them in later.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Your answer
Grade for school year 2022-23
*
Sophomore
Junior
Senior
Your Email
*
Your answer
Your Phone Number
Your answer
Is it okay to text you?
Yes
No
Clear selection
School Name & Location
*
Your answer
Name of Person in Administration who has the authority to approve the project (may be a principal or a guidance counselor.) Please provide an email if available.
Your answer
In a few sentences, please tell us why you want to launch The Helium Project at your school.
*
Your answer
Can we contact your parent or guardian to get their permission to connect with you?
*
Yes
No
Your parent or guardian's name and email address.
Your answer
Do you have any questions for us?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
