Alumni Ambassador Registration Form

Email Address*

First Name*

Middle Name

Last Name*

Phone Number*

Mailing Address*

Country

Street

City

Region

Postal Code

Please list the name and city of the high school where you currently work.

Your current role*

Counselor

Teacher

Administrator

Other

Graduating Class from CSU*

Chicago State Alumni Ambassador Program

Participating in the Alumni Ambassador Program allows you to directly impact the future of Chicago State University by referring talented high school students from your network to receive personalized support during the admissions process. You will have exclusive access to the Alumni-Student Referral form. You will have to do a yearly training, which will be available virtually and in person. The training will consist of keeping Alumni updated with any new process, program and achievements happening on campus.

Are you interested in participating in CSU Alumni Ambassador Program? *

Yes

No

Would like more information before deciding

*Denotes required field