Student Ambassador Recommendation Form

Student's Name:

Recommender's Name:

Recommender's Email:

Relationship to student:


To The Recommender:
This evaluation will be used to assist the Office of School Relations/Diversity Outreach in determining whether the student named above is a good candidate for the MiraCosta Student Ambassador Program. Student Ambassadors represent the college and are expected to be role models on campus and in the community, at all times. They hold an important leadership role and are tasked with encouraging K-12 students and community members to consider higher education options. The information in this evaluation will be kept confidential, so please provide honest feedback regarding the applicant. For more information about the Student Ambassador role please review the Student Ambassador Job Description and Requirements.

The priority deadline for recommendations is Wednesday, June 20, 2018
(recommendations received after the deadline will be considered if space is available)

  Poor Fair Good Excellent Don't Know
Academic Achievement
Work habits
Cultural Sensitivity

Please provide examples of the applicant’s involvement in community, school, and/or work activities that demonstrate his/her ability to lead by example, take initiative, and work well with others:

For any questions, please contact Jonathan Gómez, Outreach Coordinator, 760-795-6894 or
or Lisa Montes, Student Services Specialist, Outreach, 760-757-2121 x6396 or

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