Wellness Ambassadors Application

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Thank you for your interest in becoming a Wellness Ambassador. Please complete the following application.

First Name*

Last Name*

Local Address*

Permanent Address*

Cell phone number*

Email address*

W Number*

Cumulative GPA*

Number of credits you are currently taking*

Year in School*

Major*

Minor (if applicable)

Other organizations or extra-curricular activities in which you are involved

Please state why you are interested in becoming a Wellness Ambassador

Are there particular areas of interest that you have regarding Health and Wellness?

Skills or experiences that would help you as an effective Wellness Ambassador

Please describe any previous experience related to Wellness Ambassadors

Contact Us

Campus Recreation

Wellness Center

Half Acre Gym, Rm. 107

1000 E University Ave

Laramie, WY 82071

Phone: 307-766-9355

Fax: 307-766-6720