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Dean of Students

Contact Leadership & Service

206 Bone Student Center
Campus Box 2640
Normal, IL 61790-2640
Phone: (309) 438-8972
TDD (309) 438- 2762
Facsimile: (309) 438-3147

Leadership Revolution

First Name:
Last Name:
Preferred Name (for nametag):
Email Address:
Phone Number:
Mailing Address
City:
State:
Zip Code:

 

2) I am attending Leadership Revolution

On my own
With a student organization/group (specify)
as a representative for a organization/group (specify)

3) Have you ever participated in Leadership Revolution?

Yes
No

4) Do you have any dietary needs?

No
Yes (please explain)

5) Are there any special accommodations you need?

No
Yes (please explain)

6) Are you a student at Illnois State University?

Yes
No