The Emerging Leaders Institute Application

Please fill in the application below using a valid e-mail address. The application will be forwarded to the ELI coordinator. You will be contacted to confirm your acceptance in the program.

ELI is currently accepting applications for Spring 2013.

Friday, March 8th, and Saturday, March 9th

If you prefer, you may print and mail in your application.

Deadline to apply: March 1, 2013


Name

Student ID

Address

City

State

Zip

Phone

Email

Name of On/Off Campus Organization (service project optional)

How did you hear about the Emerging Leaders Institute?

I am able to arrange my schedule to attend both full days of workshops.

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

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