Campus Life: Geaux Lead


	Baton Rouge, Louisiana \|

The LSU Leadership Retreat:”Geaux Lead!”

Campus Life is excited to announce the second annual LSU Leadership Retreat: “Geaux Lead!”. In order to be eligible for selection to participate in “Geaux Lead!” please complete the following application in its entirety and submit to Campus Life prior to May 8, 2009 at 4:30 PM.

What is “Geaux Lead!”?

A four day off-campus leadership retreat for students interested in enhancing their current leadership skills and abilities.
An opportunity to create a memorable and fun experience with other students that share your interest in leadership.
An opportunity to be a part of a cornerstone of LSU’s leadership offerings!

Who should attend?

Full-time students at LSU in good academic standing.
Those seeking to have an impact on our campus or community.
You!

When/where is “Geaux Lead!”?

May 17 – 20, 2009
Feliciana Retreat Center (transportation is provided from campus to the site)

What is the cost of attending “Geaux Lead!”?

“Geaux Lead!” is completely FREE to all applicants! If selected, you will not be charged for attending the retreat. You will be expected to place a $100 refundable deposit that will be deducted from your fee bill if you commit to attend and complete the retreat but do not fulfill your commitment.

Attendance at “Geaux Lead!” is limited to 50 students. Selection will be based on quality of application and with a commitment to representing a cross-section of LSU’s student population.

Please complete and submit the following application in its entirety.

Geaux Lead Registration Form
First Name:
Last Name:
Nickname/Preferred first name for nametag:

Current Address:
City:
State:
Zip:
Phone:
LSU E-mail:
LSU ID:

Permanent Address:
City:
State:
Zip:

Anticipated Graduation Date:
Year(s) at LSU:
Classification:
Cumulative GPA:
Major or Intended Major:
Gender:
Date of Birth:
Race/Ethnicity:
How did you hear about Geaux Lead?

Do you anticipate any conflicts with attending the entire 4 day period (May 17-20)?
Yes No
Do you have any special needs? (Please be specific, i.e. dietary needs, medical conditions, ability, etc.)

Please list your t-shirt size:

Please answer the following questions:
Please describe your campus/community involvement, any leadership positions you have held to date, and any leadership training you have received.
(no more than 10-12 sentences)
What unique qualities and/or experiences would you bring to the “Geaux Lead!” Leadership Retreat?
(no more than 10-12 sentences)
Realizing that “Geaux Lead!” is a personal development experience as well as a leadership training opportunity, what do you expect to gain personally from your four-day experience?
(no more than 10-12 sentences)
What is something that you are passionate about? How could this passion be applied to making a difference in your community (LSU community, Baton Rouge community, home community, etc.)?
(no more than 10-12 sentences)

Emergency Contact Information:
Name:
Relationship:
Mailing Address:
City:	State: Zip:
Phone:
E-mail:

Campus Life
Division of Student Life
122 Johnston Hall
Baton Rouge, LA 70803
Phone: 225/578-5160
Fax: 225/578-9441
E-mail: campuslife@lsu.edu
Internet 2 University Member