First Name *

Last Name *

Email *

Phone *

Are you planning on attending in person or virtually? *
- Select Option In person Virtually

A zoom link will be provided in the confirmation email!

Are you a current member of the Hauenstein Center, CLA Fellow, or CLA Mentor? *
- Select Option Yes No I'm not sure

Please call the Hauenstein Center at (616) 331-2770 to verify your membership status

Get involved:
Please add me to the Hauenstein Center Mailing List
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Mailing Address

Hauenstein Center Membership

Cook Leadership Academy

Will you be attending the private reception prior to the event? *
- Select Option Yes No

How did you hear about this event? *
Email
Postcard
Social Media
GVSU Flyer / Laker Hub Slide
Word of Mouth
Experience Grand Rapids
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What is your affiliation with the Hauenstein Center? Check all that apply. *
GVSU Student
GVSU Faculty / Staff
GVSU Alumni
CLA Fellow Candidate
Hauenstein Center Member
West Michigan Community Member
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First Name *

Last Name *

A zoom link will be provided in the confirmation email!

Mailing Address

First Name *

Last Name *

A zoom link will be provided in the confirmation email!

Mailing Address

First Name *

Last Name *

A zoom link will be provided in the confirmation email!

Mailing Address