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Student Development

College of the Canyons
Office of Student Development
Ambassador Request Form

Requestor Name:

Organization/Department:

Title:

Phone Number:

Alternate Phone Number:

Valid Email Address:

Event Name:

Date of Event:

Time of Event:

From:

To:

Event Location:

Nature of Event (Describe):

Contact Person at Event:

Contact Person Cell Phone Number on Day of Event:

Ambassador Information

Number of Ambassadors Requesting:

Ambassador Start & End Time:

From:

To:

Ambassador Event Duties/Responsibilities (check all the boxes that apply):

	tour of the Valencia Campus		help with auction
	tour of the Canyon Country Campus		transport guests in carts
	visit to school		welcome guests
	speak about COC		mix and mingle
	information table		seat fillers
	pass out information		eat with guests
	setup		serve food and/or drinks
	assist guests with setup		serve or pour alcoholic beverages
	check-in table		tear down
	direct guests		clean-up
	other:

Ambassador Shirt Preference:
Ambassador Pant & Shoe Preference:
Additional Information:
Enter a valid email address if you would like to receive a copy of this submitted form.
Questions? Please Contact Robin Herndon in the Office of Student Development (STCN-102), (661) 362-3142 or Allison Korse-Devlin at (661) 362-.3648.

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College of the Canyons

Valencia campus:	(661) 259-7800	• 26455 Rockwell Canyon Road, Santa Clarita, CA 91355
Canyon Country campus:	(661) 362-3800	• 17200 Sierra Highway, Santa Clarita, CA 91351

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