2024-2025 SOS Student Ambassador Application

This document must be completed in its entirety to be eligible for review before the March 31, 2024 deadline. Late submissions will not be accepted.

If you have trouble accessing the form, please contact externalaffairs@sos.ms.gov

Today's Date*

Full Name*

Home Address*

City*

Zip Code*

Student Phone Number*

Phone

Student Email*

(Please use an email that is regularly monitored)

Parent/Guardian Name*

Parent/Guardian Phone Number *

Phone

Parent/Guardian Email*

(Please use an email that is regularly monitored)

HIGH SCHOOL INFORMATION

High School Name*

Year of Graduation*

GPA*

List two (2) high school or community activities:*

List two (2) honors, awards, or leadership positions held:*

Have you ever had any disciplinary referrals or suspension?*

Yes

If yes, explain*

REFERENCES

School Counselor or Administrator Name*

Administrator Phone Number*

Phone

Administrator Email*

Personal Reference Name*

Personal Reference Relationship*

Personal Reference Phone Number*

Phone

Personal Reference Email*

Have a teacher or school official provide a letter of reference by sharing the link below with them.

Link to Reference Letter Submission Form

Why do you want to be an SOS Student Ambassador?*

Are you interested in a career in politics or public service? Why or Why not?*

Essay

In 300-600 words, address the prompt below. You may type in the space provided or upload as a separate pdf or word document:

The Mississippi Brain Drain is a major issue as young professionals are leaving the state to seek out opportunities in other states. Why do you think this is and what are some possible solutions to resolve this issue?

Essay

Essay File Upload

Drag and drop files here or

VERIFICATION

By typing your name and date below you are verifying the following:*

I hereby confirm that the information above is true and accurate to the best of my knowledge. It is my understanding that if any information in this document is deemed inaccurate, my application will be withdrawn.

Send me a copy of my responses

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