Senior Ambassador Application
Name
Email
Address
City/State/Zip
Phone
School
Extra Curricular Activities (Includes offices held, clubs, sports and organizations - within and outside your school)
In your own words, why should you be chosen as an Ambassador?
Parent's Name
Address (if different)
City/State/Zip
Yes No
I am home schooled
I will be taking college courses my senior year
I am a representative for another studio
I realize that this program is geared to help promote Lozoya Studios and I, if chosen, will not accept a
representative position from another studio. Any violations of these terms will terminate this agreement and
all outstanding balances will be due. I have read and understand all Ambassador materials (on the website or in person.)
Applicant's Signature:
Date:
Parent's Signature (required):
Date:
Information can be submitted online. However, signatures are required to participate in the ambassador program.
