Emerging Leaders Symposium Registration 

This form is for students who have been nominated, to register that they are coming to the Symposium, Thursday, Feb. 28

Due Friday, Feb. 22.  We hope to see you at the symposium! 

First Name   Last Name  

Mobile Phone   

Email   

ID number   

I want a vegetarian meal    

List any special meals or access needs   

ELS Home Page

Office of Student Activities, Inclusion and Leadership Development
204 Adron Doran University Center
Morehead KY 40351
(606) 783-2071