Student Ambassador Program Interest

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Are you interested in joining the VAI Student Ambassador Program?

The Van Andel Institute Student Ambassador Program connects young leaders from West Michigan with unique opportunities to plan, organize and execute real fundraising events — all in support of the Institute’s mission to improve human health and enhance current and future generations' lives. Complete the form below to learn more and be notified once the application opens!

Student Name*

First Last

Student Email*

Student Phone #

Student Date of Birth*

Home Address

Street Address Address Line 2 City State ZIP Code

School*

Grade*

Please select the grade you will be entering next fall