2016 - 2017 | Leadership Development Account Form
Full Name
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GTID
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Building & Room of Residence
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Email
Provide your GT email address, RHA email if applicable
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Phone Number
xxx-xxx-xxxx
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Title of Conference/Event/Leadership Item
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Dates of Conference/Event
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Location of Conference/Event
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Relevant URL for Event/Item Purchase for more information
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Total Cost
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Cost Breakdown
Registration Fee, Transportation, etc
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Amount of money requested from RHA Leadership Development Account
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Amount of expected funding from other sources
Out of pocket, other sponsors, etc
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Please explain the leadership value of the Event/Item you are applying for
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Submit
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