MLK Leadership Summit 2014 Application

The MLK Leadership Summit is a weekend retreat that runs from
Friday, February 21, 2014 at 4:30pm - Sunday, February 23, 2014 at 4:00pm.

The deadline to apply is Wednesday, February 5, 2014.

Name:

Cell Phone:

Local Address:

Email:

Year of Graduation:

Academic Level: Undergraduate Student Graduate Student

Major(s) & Minor(s):

Where do you live? On-Campus in Residence Hall Off-Campus

Do you have a UNH dining meal plan? yes no

Food Allergies/Dietary Needs:

Accessibility Needs/Accommodations:

T-shirt Size:
Small Medium Large
X Large XX Large XXX+ Large
[We will do our best to accommodate your request, but we cannot guarantee that you will receive the size you indicated above.]

Have you applied to the Summit before? yes no

How did you hear about the MLK Leadership Summit?


DEMOGRAPHICAL INFORMATION:

[We want to get to know you better. For the questions below, please share only what you feel comfortable disclosing to us. Your responses will not be shared with anyone except the OMSA professional staff.]

Sex:

Gender Identity/Expression:

Race:

Ethnicity:

Sexual Orientation:

Nationality:

Religious/Spiritual Traditions:

Ability/Disability:


APPLICATION QUESTIONS:

Please take time to answer the following questions. There are no right or wrong answers; we simply want to know about your own individual experiences and insights. Your responses are important to us, and will assist us in our selection process.

1) What is your definition of diversity?

2) What is your definition of leadership?

3) How do you see diversity and leadership related?

4) What (or how) might you uniquely contribute to the MLK Leadership Summit?

5) At this point in your life, which social identity (or identities) do you identify with or think about the most? [For the purposes of answering this question, social identities include, but are not limited to: race, ethnicity, gender, sex, sexual orientation, ability, class, religious/spiritual affiliation, and nationality.]

For more information, please contact:
Otis Douce, Multicultural Coordinator
Office of Multicultural Student Affairs (MUB 327)
603-862-4528
otis.douce@unh.edu