Check Out the Leadership Quest '09 Agenda
Sign up and be eligble to win a Wii,free breakfast and lunch provided!
Continental Breakfast and Registration will begin at 10:00am on October 17th.
E-Mail*
First Name*
Last Name*
Campus/Local Address
City
State
Zip
Phone Number
Fall 2009* Freshmen Sophomore Junior Senior Faculty/Staff
Clubs/Student Organizations Affiliated with
I attended last year's Leadership Quest 2008 - "excellence in leadership". If yes please check
I currently hold leadership positions in the following University Student Clubs and/or Organizations.
I have done community service with the following community organizations.
I understand that I must attend the entire conference from start to finish in order to recieve my certificate of completion. These certificates are only given out at the end of the conference. I Understand