Student Ambassador Program

The mission of the Student Ambassador Program is to offer local students the opportunity to learn about the Pennsylvania legislature and state government, experience the value of diversity by working with students from other schools and backgrounds, and to represent their personal and community’s interests by proposing legislation to Senator Flynn and their local State Representatives.

Senator Flynn’s Student Ambassador Program is open to high school seniors and juniors from all of the high schools in the 22nd Senatorial District.

Apply

Download Program Overview

Download Printable Application

DEADLINE:

Apply by Friday, October 31st at 5:00 PM to represent your school and become a student ambassador in the 22nd district.

How to Apply:

Applications are available at your high school or by completing the form below.

Have Questions

All questions about the application process or program should be directed to D22SAP@pasenate.com or call 570-207-2881.

Apply

Student Ambassador Application 2025

Application

First Name *

Last Name *

Name you prefer (Nickname)

Preferred Pronouns

Email *

Cell Number *

Address *

Address 2

City *

State *

Zip Code *

Name of School *

Are you a Senior or Junior?

Junior

Senior

Date of Birth

How Do You Identify?

Male

Female

Prefer Not to Answer

Why do you want to be a part of the Student Ambassador Program? What are your desired takeaways?

Tell us about yourself?

In Pennsylvania, what do you think is the biggest obstacle to the passage of good legislation?

(There are no correct answers. This question will help gauge your preexisting knowledge of the Pennsylvania legislature.)

What aspect of government are you most interested in?

Please attach any supporting documentation that you feel would support your application (PDF or Doc only) *

Maximum file size: 134.22MB

(Example: Resumes, research papers, projects, etc.)

Full participation is mandatory. Schools should allow for excused absences while students are attending Student Ambassador Program sessions. More than two absences will result in removal from the program. If selected, I affirm that I will attend each of the program sessions. I understand that transportation and parking to the program sessions, apart from the field trip to the State Capitol, are the responsibility of each participant. I know that if I miss more than two sessions, I am not eligible to complete the program.

Medical Emergency Form

Name of Student *

Emergency Contact Name & Relation to Student *

Emergency Phone Number

Physician Name *

Physician Phone Number *

Allergies

Dietary Restrictions

Health concerns that may affect your participation

Current Medications/Indicate condition being treated

Media Release Form

We like to share content on Senator Flynn’s social media accounts showcasing the program and its participants. You (your child) may appear in photos and/or videos during the duration of the Student Ambassador Program. Photos may also be shared with local media outlets for promotion. If you have any objections or concerns, please contact us.

If you are human, leave this field blank.