Campus Ambassador Application

Campus Ambassador Application Form

Ready to lead the movement against malnutrition on your campus? Fill out the form below to apply. Our team will review your submission and get back to you shortly.

Personal & Academic Details

Tell us who you are and where you study.

Full Name *

Contact Number (WhatsApp) *

Email Address *

College / University Name *

Course — Major *

Course — Minor (if applicable)

Department *

Semester *

Member of an Existing Society? *

Yes No

Society Name (if applicable)

Parent / Guardian Information

Father’s / Guardian’s Name *

Mother’s / Guardian’s Name *

Parent’s / Guardian’s Contact Number *

Experience & Motivation

Help us understand your background and vision.

Resume / CV * Upload your resume Drag & drop your file here, or click to browse. PDF, DOC or DOCX · up to 5 MB

1. Do you have any prior experience in social work, volunteering, or student leadership roles? (Briefly describe your past groundwork.)

2. How do you plan to promote our mission against malnutrition among your peers?

Declaration & Agreement

Please review the following before submitting your application.

By submitting this application, I confirm that:

I understand that this is a voluntary leadership role aimed at driving social impact and building a robust professional portfolio.
I agree to maintain full accountability, attend scheduled virtual syncs, and represent IIMSAM with utmost integrity on campus.
I acknowledge that my official Certificate of Merit / Leadership will be awarded strictly upon successful completion of the tenure and assigned activities.
I undertake to provide a brief monthly update on my activities and progress as a Campus Ambassador.

I have read and agree to all the terms of the Campus Ambassador programme stated above.

Applicant’s Signature * Upload your signature Drag & drop your file here, or click to browse. PNG, JPG, WEBP or PDF · up to 1 MB

All fields marked * are required.