NEW Leadership® Virginia Class of 2024 Acceptance Form

The NEW Leadership® Virginia summer institute will take place Sunday, June 9 through Friday, June 14, 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 information below.

This information will be used to contact you between now and June. (all fields with * are mandatory)

First Name*

Preferred/Nickname

Middle Name

Last Name*

Preferred Pronouns*

School*

Current Address
Address Line 1*

Address Line 2

City*

State*

Zip*

Cell phone*

Preferred email address* (This will be the main email address used to contact you before and during the summer institute and should be one you check frequently)

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)*

Please provide a brief bio (less than 500 words) that can be included in program materials. Your bio should highlight your school, class year, major/minor, and academic interests.
Bio*

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.

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 2024.I do not have a laptop or tablet I can bring to NEWL VA 2024 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 in-person program sessions from June 9th - 14th, 2024. 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 jdeering@gmu.edu. Thank you! Please acknowledge the following:I confirm that I will attend New Leadership® Virginia 2024, 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.

Photo
After submitting this form, please submit a photo to jdeering@gmu.edu. 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)