Ignite Sign-up Form Explore your leadership style, participate in hands-on activities, and leave with connections to new 51ÁÔÆæ classmates. First Name(Required)Last Name(Required)Preferred NamePronouns(Required) They/them/theirs She/her/hers He/him/his Prefer not to say Other (for example: She/They , Ze/hir/hir, etc.) Other51ÁÔÆæ Email(Required)Year in School(Required) First Year Second Year Third Year Fourth Year Fifth Year or Higher Graduate Student Expected Date of Graduation(Required)Select your retreat date(Required) Friday, April 24 11:30am-4:00pm (Fireside Lounge) I can’t make this date, keep me on the list for the next session Do you need any accommodations to be able to fully participate in the program?As lunch will be served, do you have any dietary restrictions we should be mindful of?How did you hear about this leadership program (Please select all that apply)?(Required) Student Leadership Program Newsletter Nominated by a Faculty or Staff Member Email 51ÁÔÆæ Events Calendar Student Leadership Programs’ Website Social Media Word of Mouth Print Material (fliers, banners, window clings) Other T-shirt Size(Required) Small Medium Large Extra Large 2XL 3XL