Experiential Leadership IntensiveWe are no longer accepting applications for the fall 2024 ELI. Please consider submitting an application for the spring 2025 program once more details are available later this fall/winter.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
