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1. Participant Details
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2. What is your classification? *
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4. What race/ethnicity do you identify with? (Check all that apply)
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Please select which student group(s) you are involved in from the following list: *
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8. Due to the acquirement of training resources ($225), cost of the program itself, and other financial requirements, we will be charging a $25 registration fee that will be added to your Bursar upon selection. Please indicate below if you’d like to be considered for a scholarship, provided by the Hargis Leadership Institute, to cover this fee. *
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Select Your T-shirt Size
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