Adult Lead Registration

Registration for Adult Leads identified/assigned by network partners. Adults Leads have dedicated time and passion for engaging learner cohorts through the Midwest Learner Design Summit experience, alongside a fully committed university team. 

This information will help us prepare for the Summit experience. Questions? Contact 

* denotes a required field

Partner Organization Information

Emergency Information


GVSU will provide reasonable accommodations to individuals with disabilities upon request. For questions about accessibility please contact

Additional Forms

Complete, save, and upload each form:

Media Release


An electronic authorization for release of information background check will be sent to your email following registration. 

Gender Identity (Please select all that apply): *

Commitment Review

Page last modified June 22, 2021