1. Your information

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* Please provide your personal information.

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* Faculty/staff member who has agreed to assist applicant in obtaining funding for participation in the program:

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* Please list any dietary restrictions:

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* How did you hear about the Summer Leadership Institute?

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* Mount Mary University Women’s Leadership Institute is committed to serving students of all races, ethnicities, national origins, religions, sexual orientations, and political party affiliations.Students from all areas of study are encouraged to apply. The information requested below will help us to measure our effectiveness at connecting with underrepresented populations during recruitment and programming, but it is not required.

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 33% of survey complete.

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