Student Ambassador Application 2014-2015

Welcome to MiraCosta Student Ambassador Application page.  Thank you for your interest in the position. Please review the job description and requirements found below, prior to completing the application.

Student Ambassador Job Description

Under the direction of the Coordinator of School Relations and Diversity Outreach or assigned supervisor, Student Ambassadors will provide the following services:


Desirable Qualifications

Applications must be submitted online no later than July 9, 2014.

To be considered for the Student Ambassador Program, we ask for:

Applicant Information

* Denotes required field

First Name: *
Middle Initial:
Last Name: *
Email Address: *
Mailing Address: *
City: *
State: *
Zip Code: *
Cell Phone: *
Other Phone:
Date of Birth: *
Ethnicity *:
* NOTE: Your age or ethnicity will have no bearing on acceptance to the Student Ambassador Program. This data is gathered for statistical purposes only.   
Last High School Attended: *
Languages Spoken Fluently *
(other than English):
Will you be at MiraCosta for at least two semesters? *
Have you ever been convicted of any felony, a misdemeanor drug charge, or a misdemeanor of moral turpitude (sexual offense) crime? if yes, please explain:
Please list three references (at least one MiraCosta faculty or staff member is preferred, if available). In addition, please include at least one former high school counselor or teacher if you have attended a local high school within the last five years.
Name * Address * Email * Phone *
Leadership/Volunteer Activities: *
Employment History *
Please list two of the most recent employment positions held (Please note: work experience is not required. If you do not
have an employment history you may write "N/A" or "none" in the fields below):
Company/Organization & Title: * Worked from: * Worked to: *
Student Status (check one):
Surf ID # *:
* Note to New Students: If you don't have a Surf ID already, you may leave this field blank and still submit your application.   
Intended Major: *
Academic Goals:
(check all that apply):

Where do you plan to attend classes at MiraCosta? *
(check one)

Why do you wish to apply to the Student Ambassador Program? (rank your top three)

Essay *
Write a short essay (300 to 400 words) that explains why you are interested in becoming a Student Ambassador. Please describe what qualities make you a good candidate to be a student ambassador and how the position aligns with your long term goals.

Write a short essay (300 to 400 words)  that explains the value in having a diverse student body and list any examples of how you have helped promote diversity (in your school, community, workplace, etc.)

Transcripts: *
(check one)
(unofficial transcripts are acceptable)

For Students with College Coursework other than MiraCosta College

Remember, it is your responsibility to secure your transcripts and one letter of recommendation to Jonathan Gómez, MiraCosta College, via email ( (Your application is not complete until your transcripts have been received.)

Submit the Application

By submitting this application to the Office of School Relations & Diversity Outreach, I certify that the answers I have provided herein are true and correct, and that I have not knowingly or willingly withheld any facts or circumstances which may affect my acceptance and/or participation in the Student Ambassador Program.

In order to help us prevent SPAM, please enter the number before submitting the form.

For more questions, please contact:                                            


Oceanside Campus
Student Center, Building 3400 Campus Map

Mailing Address

MiraCosta College
School Relations/Outreach Office, #12A
1 Barnard Drive
Oceanside, CA 92056

Office Hours

Mon-Fri 9:00 a.m.-5:00 p.m.