ITASA LEADERSHIP RETREAT REGISTRATION FORM


First Name:

Last Name:

Mailing Address:

E-mail Address:

Phone number:

School:

Gender: Female Male

Do you need housing?
Yes, for 10/17 Friday Night
Yes, for 10/18 Saturday Night
Yes, for both nights
No, I don't need housing

What are the two biggest issues that Taiwanese Americans face at your school?

What do you hope the Taiwanese American community can do in the future?

What aspects of your leadership style do you hope to improve on?

An interesting fact/quality about you:

Are you planning on taking the Wellesley Senate bus to get to Wellesley from Boston/Cambridge?
Yes
No

For more info on the Senate bus, please check http://www.wellesley.edu/Housing/senate.html

For directions to Wellesley, please see http://www.wellesley.edu/Admin/travel.html

For a campus map, check http://www.wellesley.edu/CampusMaps/
Click near the Clapp Library and the Chapel to see where Slater International Center is.

4) Please make the checks out to: Wellesley College Taiwanese Student Association and mail to:

      Betty Hsi
      Freeman Hall
      106 Central Street
      Wellesley, MA 02481

Be sure your name is written on the check.