Identity, Leadership, and Inclusion Retreat

This retreat will begin on Friday, March 6 at 5 p.m. in Center for Community Engagement and Service (Gerety 201). Day two of the retreat will be an overnight excursion to Rose Island. Please note we will only be taking the first 18 students that apply. Cost for participants will be $25 which will be nonrefundable. (Financial assistance available as needed).

Registration due by: Feb. 21

Mandatory retreat meeting: Week of March 2

Name*

First Name

Last Name

Preferred Name (optional)

Pronouns:

Gender

Salve ID*

T-Shirt Size*

Salve email*

Graduation year*

Phone*

Date of birth*

Major*

Are you a first generation college student?*

Yes No

Allergies or dietary restrictions (vegan, vegetarian, gluten free, dairy free, etc.):*

Emergency contact information

Name*

First Name

Last Name

Phone*

Relationship to student*

Questions: We want to get to know you better before the retreat. Please answer these questions as a way of informing us a little more about who you are and why you are interested in joining us.

Please share a time you made a positive impact on another student or on campus*

What do you want to gain by going on the Identity, Leadership, and Inclusion Retreat?*

What is something you want other students participating in this retreat to know about you? *

Please describe any talents, hobbies and/or interests*