Student Ambassador Application Form

Please fill out this form to apply

Please select which campus you are applying to

Campus *

Knight Campus (Warwick)

Liston Campus (Providence)

Flanagan Campus (Lincoln)

Newport County Campus

First Name *

Last Name *

CCRI Student ID *

Phone Number *

Email Address *

Program of Study *

Expected Date of Graduation

Rank yourself in the following areas

Attitude *

Public Speaking *

Work Ethic *

Interpersonal Communication *

Organizational Skills *

Team-Oriented *

List any CCRI Clubs or Organizations that you are involved in:

CCRI Clubs or Organizations

Please provide a reference - Your reference should be either a faculty member, Advisor, or other staff member.

Reference Name *

Reference Email

Reference Phone Number