Student Leadership Institute - Be the Change!

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Name:

Z Number:

E-mail Address:

Phone Number:

Major:

Year in School:

Student Organization Involvement:

Please choose which session you would like to participate in:
*Note: All sessions are from 10:00 AM - 12:00 PM

Is your organization planning to participate as a group?     Yes     No

If yes, what organization are you planning on participate with?