The Emerging Leaders Institute Application

Please fill in the application below using a valid e-mail address OR submit a paper application using the Emerging Leaders Institute brochure. The application will be forwarded to the ELI coordinator. You will be contacted to confirm your acceptance in the program.

APPLICATIONS FOR SUMMER 2016 NOW OPEN!

Please Contact the Student Activities Office If You Have Any Questions

Workshop Dates and Times:

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.