UHS PTSA Student Ambassador Application

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First Name *

Last Name *

Email *

Phone *

Q1: Please list your current UHS clubs, community organization(s) and/or your interests. *

Q2: Please explain why you are interested in being a Student Ambassador for the UHS PTSA. *

Q3: Please check the area(s) you are interested in or willing to lead. *

Walk, Bike, and Roll to School (October 8, 2025 and May 2026 (TBD))

Parent-Teacher Conference (assisting with events in the Common Areas)

Parent-Teacher Conference (organizing and overseeing meal deliveries for teachers)

Earth Day Clean-Up

Connecting with City Government (e.g., attending Urbana Park District Advisory meetings with Kanittha Fay to represent the PTSA Student Voice)

Connecting with Community through PTSA co-sponsored events, such as Trees and Lights from Around the World and cultural programs like Hispanic Heritage Month, Lunar New Year, and Jettie Rhodes Festival

Mayoral Recognition Program

Teacher Appreciation Day

Other:

Required

Grade in School (2025-2026) *

9th

10th

11th

12th

Parent/Guardian *

Parent/Guardian's email address *

Parent/Guardian's phone *

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