USM Leadership Summit Registration

USM Leadership Summit
April 24- 25, 2025
The Hotel at the University of Maryland

Name(Required)

First Last

How would you like your name to appear on your name tag (if different from above?)

Email(Required)

Preferred Phone Number(Required)

Affiliated Institution(Required)

What is your role at your institution?(Required)

Do you plan on staying overnight at the hotel?(Required)

Yes

Will you attend the dinner on Thursday, April 24?(Required)

Yes

Will you want a boxed lunch after the Summit concludes on Friday, April 25?(Required)

Yes

Please list any dietary restrictions below: