Qualtrics Survey | Qualtrics Experience Management

We are excited that you are considering joining us for the 25th Annual Unity in Leadership Retreat! Our theme this year is "Kept by Culture, Cultivated by Community." This year's retreat host site will be located at our Minnowbrook Conference Center in the Adirondack. This event is a free (all inclusive), one-day overnight leadership retreat for students. We invite students to join Student Living on a retreat focused on meaningful discussions, self-reflection, and connections, and leadership. Applications are due by March 17th. Note that space is limited, so reserve your space today!

If you have any questions, please email Quincy Bufkin at qdbfukin@syr.edu, and he will be happy to answer.

Please enter your full name

First Name

Last Name

Preferred Name

SUID Number

Do you Identify as a student of color and/or a student from a marginalized race/ethnicity?

Yes
No

Choose which group(s) you most associate with:

White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Other (specify)

How do you define your race/ethnicity?

What is your residence building or off-campus address?

SU Email Address

Cell Phone Number

T-shirt Size

Are you interested in gender neutral housing?

No
Maybe
Yes

Do you have a preference of who you would like to lodge with during the retreat? If yes, please state their name.

Special Dietary Needs/Restrictions

Other Accommodations

Are you a first-time attendee?

Yes
No

What is something you are very excited about by attending the retreat?

What topic areas you would like for us to discuss/address during the retreat?

Is there anything we should know prior to you attending the retreat?