Fall RHA/NRHH Leadership Retreat

Thank you for your interest in the Fall RHA/NRHH Leadership Retreat. The retreat is hosted every year at Camp New Hope.

Please note that by completing this form you're indicating that you're available to attend the retreat.
Spots fill up quickly, so please register as soon as possible.

If you have any questions regarding the retreat or the form, please contact the RHA and NRHH Advisor:

Dennis Cristina at dlcristina@eiu.edu.

Name Name * First Last
Preferred Name
Pronouns (if comfortable to share)
EIU Email *
Cell Phone Cell Phone * - ### - ### ####
Emergency Contact Emergency Contact * First Last
Emergency Contact Relationship *
Emergency Contact Number *
Where do you live on campus? *
Class Status: *
What is your position in your Panther L.E.A.D.S.? *

What is your position in your Panther L.E.A.D.S.? President Vice President Treasurer Secretary RHA Representative Other Other
Have you attended RHA and NRHH's Leadership Retreat at Camp New Hope in the past? *

Have you attended RHA and NRHH's Leadership Retreat at Camp New Hope in the past? Yes No
Due to the limited space available at Camp New Hope, we will invite two people from your Panther L.E.A.D.S. to represent your hall. Are you registering as an alternate or the main people in your halls to go? *

Due to the limited space available at Camp New Hope, we will invite two people from your Panther L.E.A.D.S. to represent your hall. Are you registering as an alternate or the main people in your halls to go? Main People to Go Alternate if Space Allows
Where did hear about this leadership opportunity?

Where did hear about this leadership opportunity? RHA Meeting NRHH Meeting Panther L.E.A.D.S. Posters Other Other
What are your current & future plans for involvement within RHA, NRHH and/or University Housing?
What do you hope to gain from attending this retreat?
What time does your last class end on Fridays? Put N/A if you don't have any classes. *
Please list any dietary needs/restrictions:
Is there anything else you'd like us to know?