Topics in this Annual Report include: A Commitment to Excellence [Letter from the Program Director]; Acknowledgements; Contents; 2004 Leadership Program Agenda; 2004 Leadership Program Participants; Activities 2004: Research, Leadership, Emerging Diseases, Biodefense and Public Health, Careers in Industry, Vocational Counseling; Cornell's Partnership with the National Institutes of Health: Topics and Speakers; U.S. Department of Agriculture: Topics and Speakers; Presentations and Prizes; Program Fellows and Their Research; Program Dinner; Counselors and Facilitators for the 2004 Leadership Program; Housing; Program Coordinator; Time Out; Where Are They Now?; Reunion 2003; What Did They Say?; In the Limelight: Dan Tucker.