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Lynx to Leadership Application

Lynx to Leadership

Lynx to Leadership is a dynamic 3-day, overnight leadership program held at NHTI to engage students in the areas of positive relationships, servant leadership, and community service. Our goal is to strengthen the NHTI community while helping students make life-long connections. This program fills up quickly – so sign up today!

August 18-20, 2024 – NHTI Campus
Cost: FREE for all NHTI students!

Email Deb Smith at dsmith@ccsnh.edu or Susan Krenzien at skrenzien@ccsnh.edu for more information, to return your application, and to get signed up for this Can’t. Miss. summer event!

Apply for Lynx to Leadership

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Please choose one:*
- Male
- Female
- Other
Date of Birth*
T-Shirt Size (Unisex)
Allergies
Dietary Restrictions
Please list any special accommodation requests:
Emergency Contact*

Please list the name, relationship, and home, cell, and work numbers of someone we can contact in case of an emergency.
What knowledge and/or skills are you looking to gain from this program?*
Are you interested in any NHTI student organizations and/or community service opportunities? Please describe.*
Are you interested in participating on any sports or athletic teams while at NHTI? Please describe.*
Consent*
I agree to the below statement.
I attest that all the information contained in this document is accurate to the best of my knowledge. I give NHTI-Concord's Community College permission to verify any of the information contained in my application. For your information: NHTI does not discriminate in the administration of its admissions and educational programs, activities, or employment practices on the basis of race, color, religion, national origin, age, sex, disability, veteran status, sexual orientation, or marital status.
Digital Signature*

Chat with Us Now!

Contact Us:

Office of Student Life
31 College Drive
Concord, NH 03301-7412
603-230-4045
NHTIstudentlife@ccsnh.edu

Lynx to Leadership Application