2017 Diversity Leadership Retreat Sign-up "Together We Rise" Sat., January 28, 2017, 9am, Ullman 100/101

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* 1. Last/Family name

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* 2. First/Given name

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* 3. Your Cal Lutheran email address

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* 4. Year in school

First Year/Freshman

Second Year/Sophomore

Third Year/Junior

Four Year/Senior

Fifth Year/Super Senior

Graduate student

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* 5. Preferred t-shirt size?

Small

Medium

Large

X-Large

XX-Large

XXX-Large

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* 6. Is this your first time attending the Diversity Leadership Retreat at CLU

Yes

Unsure

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* 7. Do you currently hold a leadership position on campus? Check all that apply

No, but I aspire to be a student leader

Yes, Orientation Leader

Yes, Resident Assistant

Yes, Peer Advisor

Yes, Student Government

Yes, Club officer

Yes, Athletic team captain

Yes, Multicultural Volunteer

Yes, Peer Mentor (any department/program)

Yes, Ambassador

Yes, SSS Mentor

Yes, Other (please specify)

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* 1. Last/Family name

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* 2. First/Given name

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* 3. Your Cal Lutheran email address

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* 4. Year in school

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* 5. Preferred t-shirt size?

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* 6. Is this your first time attending the Diversity Leadership Retreat at CLU

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* 7. Do you currently hold a leadership position on campus? Check all that apply

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* 8. Please describe any dietary restrictions.