iLEAD Emerging Leaders Series Application
Personal Information
First Name:
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Last Name:
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Preferred Name (for nametag):
Email
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example@example.com
Phone Number
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Area Code
Phone Number
Gender
Female
Male
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Race/Ethnicity:
American Indian /Alaska Native
Asian including South and Southeast Asian
African American/Black
Hispanic/Latino or Spanish
Hawaiian or Pacific Islander
White/ Caucasian
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Other (fill in box below)
If other, please explain:
Academic Information
Major:
Class Standing:
First Year
Sophomore
Junior
Senior
Questions
What is your personal definition of leadership?
What do you hope to learn from the Emerging Leaders Series?
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