Welcome to the URI Multicultural Center | Student Organization Leadership Conference

The University of Rhode Island Multicultural Center
74 Lower College Road
Kingston, RI 02881
Phone: 401-874-2851
Fax: 401-874-5952
Email: mcc1@etal.uri.edu

Student Organization Leadership Conference

2004 Participation Application Form

Memorial Union, Atrium II
September 18, 2004
9am-8:30pm

For easy registration, fill out the following form.
For more information regarding the retreat call (401) 874-5829 or e-mail maileekue@uri.edu .

Prompt registration, by August 22^nd 5 PM, is advisable in order to secure one of the 30 participant slots available for the retreat.

Confirmations for participation in the retreat will be made via email or phone, so please be certain to provide us with those two pieces of information when registering.

Retreat facilitators are: Judy Lau, Mailee Kue, Candace Ranglin, and Christine Wilson

Submission Form
STUDENT ORGANIZATION LEADERSHIP CONFERENCE

Name of Participant:

Telephone: Summer Telephone:

Alternate Telephone: Cell Phone:

E-mail:
Summer Email:

Address: Summer Address:

Year	Gender
Freshman Sophmore Junior Senior Graduate	Female Male

Student Organization :

How are you affiliated with that Student Organization?

Other:

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