Experiential Leadership IntensiveWe are accepting applications for the April 12, 2025 ELI.You must have JavaScript enabled to use this form.Indicates required field Student Name (First & Last)Student ID Number (9-digit)Student Email Student Phone NumberStudent Classification- Select -FreshmanSophomoreJuniorSeniorLeadership Program AffiliationDo you have a car or will you need transportation assistance? I have a vehicle and would be willing to help with carpooling. I will need a ride.If you have a vehicle, please indicate the number of folks you can bring NOT including yourself. (If you do not have a vehicle, simply put n/a for this question).Do you have any allergies we need to be aware of (food, environment, etc.)?Please share any pertinent medical history we need to be aware of:Emergency Contact NameEmergency Contact RelationshipEmergency Contact Phone Number
