NEW Leadership® Virginia Class of 2025 Acceptance Form

The NEW Leadership® Virginia summer institute will take place Sunday, June 8 through Friday, June 13, 2025 at George Mason University’s Schar School of Policy and Government located at 3351 Fairfax Drive, Arlington, Virginia 22201. Students must attend all program sessions and will reside in double rooms at the FDIC L. William Seidman Center adjacent to GMU’s Arlington (Mason Square) campus. Housing, meals, and transportation during the program will be provided.

Please complete the following information to be included in the participant directory:

First Name

Preferred/Nickname

Middle Name

Last Name

Preferred Pronouns

School

Please provide the following information which will be used to contact you between now and June:
Preferred email address

Cell phone

Please provide an emergency contact for the week of the program:
Emergency contact name

Emergency contact Cell phone

Emergency contact email address

Emergency contact relationship

Please indicate the semester and year you anticipate graduating from your current school

Major and Minor (if applicable) Fields of Study

Age (when NEW Leadership begins)

Photo
After submitting this form, please submit a photo to [email protected]. Please try to provide a photo with good lighting and no visible logos. If you do not have a quality headshot, we recommend that you take a simple photo standing against a white or neutral background, in good lighting, where your face and neck are showing (you are welcome to smile!). This photo will be used in our program materials and should be a photo you would be comfortable with in a professional setting. (Files must be .jpg, .png, or .gif and can be no larger than 2MB)

Accessibility Accommodations
At NEWL Virginia we strive to meet all students' accessibility needs. Please indicate whether you need any accessibility accommodations or have any conditions that you would like to make us aware of in case of an emergency:

Transportation to the Program Location (Arlington, VA)
Will you be able to secure transportation to and from Arlington, VA for program (arriving on Sunday, June 8th in the afternoon):
YesNo
Do you require assistance with transportation: YesNo
Dietary Restrictions
Do you have any dietary restrictions, including religious preferences? If so, please list them below:
Access to laptop or tablet for the program
Some of the materials you will be interacting with the week of the program will be digital. Please indicate the following:
I have a laptop or tablet I can bring to NEWL VA 2025.I do not have a laptop or tablet I can bring to NEWL VA 2025 and will need to be provided with a device.
Is there anything not included in this form that you would like to make us aware of?
Commitment of Participation
NEW Leadership® Virginia participants are expected to attend all program sessions in-person from June 8th - 13th, 2025. Participants who miss program sessions without making prior arrangements with the program co-director will not be permitted to complete the program. If you need to make a prior arrangement, please contact Jill Deering via email at [email protected]. Thank you! Please acknowledge the following:
I confirm that I will attend New Leadership® Virginia 2025, and I will make every effort to meet the commitments as described above.
If for any reason I am unable to attend, I will notify Jill Deering, program co-director, as soon as possible. I understand that any payments made on my behalf will not be refunded.
Please only click once when submitting this form. Successful submission will be indicated on the screen when it is complete.