2019 FACILITY/SYSTEM SPONSORSHIP FORM GREATER NEW YORK HOSPITAL ASSOCIATION SUMMER ENRICHMENT PROGRAM

Size: px
Start display at page:

Download "2019 FACILITY/SYSTEM SPONSORSHIP FORM GREATER NEW YORK HOSPITAL ASSOCIATION SUMMER ENRICHMENT PROGRAM"

Transcription

1 GREATER NEW YORK HOSPITAL ASSOCIATION SUMMER ENRICHMENT PROGRAM

2 2019 FACILITY/SYSTEM SPONSORSHIP FACT SHEET FORM WHAT IS THE SUMMER ENRICHMENT PROGRAM (SEP)? SEP seeks to promote racial and ethnic diversity in health care management. SEP is an internship program for undergraduate and graduate students pursuing a degree with a concentration in health care management. Students are assigned to members of the sponsoring facility s senior management staff to gain firsthand experience of the operations and management issues the organization faces. WHAT IS THE PURPOSE? SEP interns learn about the major issues, skills, and responsibilities involved with health care management. The summer experience will enhance their knowledge and understanding of the field, putting them in a better position to pursue a career in health care administration. SEP also provides an opportunity for health care institutions and systems to promote racial and ethnic diversity in leadership. WHY PARTICIPATE? To shape future leaders by helping to develop and mentor a diverse health care workforce. WHAT ARE THE DATES? The program begins on June 3, 2019, and ends on August 9, SEP interns remain on-site for the summer, with the following exceptions: June 3: Orientation session at GNYHA (half-day) June 26 27: Two-day trip to Washington, DC July 11 12: Two-day educational series at GNYHA August 9: Final presentations and closing ceremony at GNYHA (Interns present their projects to fellow students and preceptors. Hospital sponsors and preceptors are encouraged to attend this session.) WHAT ARE THE COSTS? Costs of placing an undergraduate or graduate student on the institution s payroll. The payment rate is established by the institution. At the very least, minimum wage must be given. Parking permit provided (if applicable). GNYHA asks hospitals to pay interns for the days they attend GNYHA-sponsored events that are part of the internship program s professional development component. This includes the orientation day, educational sessions, health care leadership conference, and presentations at GNYHA.

3 2019 FACILITY/SYSTEM SPONSORSHIP FACT SHEET FORM HOW ARE SEP INTERNS SELECTED AND ASSIGNED TO A FACILITY? Phase 1: Submitted applications are evaluated based on academic excellence, interest in and commitment to a health care management career, communication skills as presented in the applicants personal statements, and references from faculty, community members, and employers. We look for ambitious students with a strong potential for success. Students who meet the criteria are selected to interview with GNYHA. This first round of interviews will be conducted in mid-march at GNYHA. Phase 2: Applicants who successfully interview with GNYHA go through a matching process. Recommended applicants and their information are sent to the hospital s coordinator, who decides whether to interview that applicant. Phase 3: Sponsoring institutions conduct a second round of interviews. The facility or system coordinator works with GNYHA to schedule an interview with the student, and then interviews the student at their institution. Phase 4: Once the institution agrees to accept a student after the hospital interview, the student is offered the internship for the summer. SEP seeks to promote racial and ethnic diversity in health care management. Members of minority groups are strongly encouraged to apply.

4 ROLES SPECIFIC ROLES FOR THE SPONSORING FACILITY OR SYSTEM Facility or System Coordinator Each sponsoring facility must designate a coordinator who will serve as a liaison between the hospital and GNYHA. The facility or system coordinator will help to ensure appropriate hospital orientation for the SEP intern, as well as handle Human Resources related issues, such as hospital orientation and wages. For participating health systems, a health system coordinator must be selected to facilitate the process at each of its SEP-participating facilities. After GNYHA interviews the applicants, the coordinator will receive applications for the students recommended for the intern positions available. GNYHA will work with facility or system coordinators to ensure that hospital-student interviews are completed by May 10, A sponsor commitment form identifying the facility coordinator is attached. Please submit this form by March 8, Preceptor Preceptors are responsible for working with SEP interns on a daily basis and providing a work area with access to a computer and telephone. The preceptor must have a real-world project for the duration of the internship. The intern will be required to formally present at the program s graduation ceremony. Rotations through various departments are strongly encouraged. The preceptor is encouraged to attend the intern s presentation at GNYHA at the end of the program. Preceptor forms are attached to allow a facility or system to describe the intern s project and request desired skills (e.g., the intern must be proficient in Excel or strong writing ability ). These forms may be copied if needed. Please submit this form by March 8, 2019.

5 FACILITY/SYSTEM COMMITMENT AND INFORMATION Yes, in the 2019 Summer Enrichment Program (SEP). (facility name) will participate Please indicate how many interns you are willing to place: Yes, I will accept an Undergraduate Intern (Number if more than one: ) Yes, I will accept a Graduate Intern (Number if more than one: ) Facility/System Coordinator Information: Name Title Facility Street City State Zip Code Phone Fax Address Signature Date Preceptor Information: Name Title Facility Street

6 City State Zip Code Phone Fax Address Signature Date Description of Internship Student Project (students must be involved in a project): Skills Desired: Will interns rotate through various departments? Yes No PLEASE RETURN NO LATER THAN MARCH 8, 2019, TO: Lina Osorio Assistant Director, Community Health and Diversity Summer Enrichment Program 555 West 57th Street, 15th Floor New York, NY Phone: (212) Fax: (212) losorio@gnyha.org

7 ADDITIONAL PRECEPTOR AND PROJECT INFORMATION Preceptor Information: Name Title Facility Street City State Zip Code Phone Fax Address Signature Date Description of Internship Student Project (students must be involved in a project): Skills Desired: Will interns rotate through various departments? Yes No

8 ADDITIONAL PRECEPTOR AND PROJECT INFORMATION Preceptor Information: Name Title Facility Street City State Zip Code Phone Fax Address Signature Date Description of Internship Student Project (students must be involved in a project): Skills Desired: Will interns rotate through various departments? Yes No

FELLOWSHIP PROGRAM FELLOW APPLICATION

FELLOWSHIP PROGRAM FELLOW APPLICATION FELLOWSHIP PROGRAM 2016 17 FELLOW APPLICATION FELLOWSHIP PROGRAM ABOUT THE PROGRAM The Continuing Care Leadership Coalition (CCLC) Fellowship Program is a health care management experience designed to

More information

2012 Summer Fellowship in Translational Research & Bioethics International Institute of Bioethics & Patient Care Advancement

2012 Summer Fellowship in Translational Research & Bioethics International Institute of Bioethics & Patient Care Advancement 2012 Summer Fellowship in Translational Research & Bioethics Dominique Monlezun, Admissions Committee Coordinator #420 Deming Pavillion~204 S. Saratoga St~ New Orleans, LA 70112 E-Mail dmonlezu@tulane.edu

More information

2017 Youth Energy Conference and Awards Staff Application

2017 Youth Energy Conference and Awards Staff Application 2017 Youth Energy Conference and Awards Staff Application Program Dates: June 23-26, 2017 (Pre-Conference Dates: June 22-23, 2017) Program Staff Dates: June 22-27, 2017 (Pre-conference Dates June 21-27,

More information

Upward Bound Math & Science Program

Upward Bound Math & Science Program Upward Bound Math & Science Program A College-Prep Program sponsored by Northern Arizona University New for Program Year 2015-2016 Students participate year-round each year beginning in 2016 January May

More information

MPA Internship Handbook AY

MPA Internship Handbook AY MPA Internship Handbook AY 2017-2018 Introduction The primary purpose of the MPA internship is to provide students with a meaningful experience in which they can apply what they have learned in the classroom

More information

IMPORTANT: PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY PRIOR TO PREPARING YOUR APPLICATION PACKAGE.

IMPORTANT: PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY PRIOR TO PREPARING YOUR APPLICATION PACKAGE. APPLICATION INSTRUCTIONS IMPORTANT: PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY PRIOR TO PREPARING YOUR APPLICATION PACKAGE. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. A STATEMENT ABOUT THE UNCF/MELLON

More information

Dear Internship Supervisor:

Dear Internship Supervisor: Dear Internship Supervisor: Thank you for agreeing to supervise the internship of a Hunter College Geography student. I hope that this arrangement will benefit both your organization and our student. Student

More information

UNI University Wide Internship

UNI University Wide Internship Through UNI 290, students have obtained approval for internships in a very wide variety of areas. Internships give students an opportunity to acquire practical hands-on experience in a field or area that

More information

New York State Association of Agricultural Fairs and New York State Showpeople s Association Scholarship Application

New York State Association of Agricultural Fairs and New York State Showpeople s Association Scholarship Application New York State Association of Agricultural Fairs and New York State Showpeople s Association 2014 Scholarship Application The NYSAAF and NYSSA offer an annual scholarship program which is available to

More information

The Louis Stokes Scholar Internship A Paid Summer Legal Experience

The Louis Stokes Scholar Internship A Paid Summer Legal Experience The Louis Stokes Scholar Internship - 2016 A Paid Summer Legal Experience The Cleveland Metropolitan Bar Association s Louis Stokes Scholars Program is an amazing opportunity for college students or high

More information

Graduate Student Travel Award

Graduate Student Travel Award Minimum Requirements for Eligibility: Graduate Student Travel Award 2016-2017 The applicant must provide travel-related information in a timely basis to the administrative staff and complete the UTRGV

More information

GRADUATE APPLICATION GRADUATE SCHOOL. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

GRADUATE APPLICATION GRADUATE SCHOOL. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014 Fall Trimester September 2, 2014-November 14, 2014 Application Deadline: August 8, 2014 Classes Begin: September 2, 2014 Add/Drop Deadline: September 12, 2014 GRADUATE SCHOOL Empowering Leaders for the

More information

Higher Education / Student Affairs Internship Manual

Higher Education / Student Affairs Internship Manual ELMP 8981 & ELMP 8982 Administrative Internship Higher Education / Student Affairs Internship Manual College of Education & Human Services Department of Education Leadership, Management & Policy Table

More information

Application for Fellowship Leave

Application for Fellowship Leave PDF Fill-In Form: Type On-Screen, then Print for Signatures and Chair Approvals Brooklyn College (2018-2019 Academic Year) Application for Fellowship Leave Instructions for Applicant: Please complete Sections

More information

STUDENT APPLICATION FORM 2016

STUDENT APPLICATION FORM 2016 Verizon Minority Male Maker Program Directed by Central State University STUDENT APPLICATION FORM 2016 Central State University, Wilberforce, OH 45384 June 19-July 1, 2016 Camp and once monthly sessions

More information

NATIONAL SURVEY OF STUDENT ENGAGEMENT

NATIONAL SURVEY OF STUDENT ENGAGEMENT NATIONAL SURVEY OF STUDENT ENGAGEMENT 2010 Benchmark Comparisons Report OFFICE OF INSTITUTIONAL RESEARCH & PLANNING To focus discussions about the importance of student engagement and to guide institutional

More information

International Undergraduate Application for Admission

International Undergraduate Application for Admission CHECKLIST Application fee: US$30 (required) Completed application form Request academic records International Undergraduate Application for Admission Request exam score reports Copy of passport Completed

More information

Northwest Georgia RESA

Northwest Georgia RESA Northwest Georgia RESA Office of Executive Director 3167 Cedartown Hwy SE Rome, GA 30161 (706) 295-6189 Fax: (706) 295-6098 Date of Application: Date Available for Employment: Personal Information Full

More information

UNDERGRADUATE APPLICATION. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

UNDERGRADUATE APPLICATION. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014 Fall Trimester September 2, 2014-November 14, 2014 Application Deadline: August 8, 2014 Classes Begin: September 2, 2014 Add/Drop Deadline: September 12, 2014 Winter Trimester December 1, 2014 March 13,

More information

DEPARTMENT OF KINESIOLOGY AND SPORT MANAGEMENT

DEPARTMENT OF KINESIOLOGY AND SPORT MANAGEMENT DEPARTMENT OF KINESIOLOGY AND SPORT MANAGEMENT Undergraduate Sport Management Internship Guide SPMT 4076 (Version 2017.1) Box 43011 Lubbock, TX 79409-3011 Phone: (806) 834-2905 Email: Diane.nichols@ttu.edu

More information

GRADUATE SCHOOL DOCTORAL DISSERTATION AWARD APPLICATION FORM

GRADUATE SCHOOL DOCTORAL DISSERTATION AWARD APPLICATION FORM READ THESE INSTRUCTIONS BEFORE FILLING IN THE APPLICATION Purpose The University of Florida (UF) Graduate School Doctoral Dissertation Award is a competitive, need based award program to provide final

More information

Application for Fellowship Theme Year Sephardic Identities, Medieval and Early Modern. Instructions and Checklist

Application for Fellowship Theme Year Sephardic Identities, Medieval and Early Modern. Instructions and Checklist 2018-2019 Theme Year Sephardic Identities, Medieval and Early Modern Instructions and Checklist Please adhere to the following stipulations when applying for the Frankel Institute Fellowship: University

More information

Dates and Prices 2016

Dates and Prices 2016 Dates and Prices 2016 ICE French Language Courses www.ihnice.com 27, Rue Rossini - 06000 Nice - France Phone: +33(0)4 93 62 60 62 / Fax: +33(0)4 93 80 53 09 E-mail: info@ihnice.com 1 FRENCH COURSES - 2016

More information

The main purpose of this letter is to provide you information about the Annual Biology Day event for high school students.

The main purpose of this letter is to provide you information about the Annual Biology Day event for high school students. To: High School Biology Teachers From: Victoria Livingston, Mari Aanenson, Laura Barden-Gabbei Date: September 29, 2015 The main purpose of this letter is to provide you information about the Annual Biology

More information

APPLICATION DEADLINE: 5:00 PM, December 25, 2013

APPLICATION DEADLINE: 5:00 PM, December 25, 2013 FCAST EXCHANGE APPLICATION APPLICATION INSTRUCTIONS GLOBAL UNDERGRADUATE EXCHANGE PROGRAM IN SERBIA 2014-2015 THE GLOBAL UGRAD PROGRAM IS SPONSORED BY THE U.S. DEPARTMENT OF STATE S BUREAU OF EDUCATIONAL

More information

Parent Information Welcome to the San Diego State University Community Reading Clinic

Parent Information Welcome to the San Diego State University Community Reading Clinic Parent Information Welcome to the San Diego State University Community Reading Clinic Who Are We? The San Diego State University Community Reading Clinic (CRC) is part of the SDSU Literacy Center in the

More information

PERSONALIZED MEDICINE FELLOWSHIP APPLICATION Irving Institute for Clinical and Translational Research 2014

PERSONALIZED MEDICINE FELLOWSHIP APPLICATION Irving Institute for Clinical and Translational Research 2014 PERSONALIZED MEDICINE FELLOWSHIP APPLICATION Irving Institute for Clinical and Translational Research 2014 Accelerating Discoveries Toward Better Health irvinginstitute.columbia.edu The Personalized Medicine

More information

Scholarship Application For current University, Community College or Transfer Students

Scholarship Application For current University, Community College or Transfer Students (AN INSTRUMENTALITY OF THE TOWN OF WESTLAKE) 2014-2015 Scholarship Application For current University, Community College or Transfer Students In 2013 TSHA awarded in excess of $420,000 (market value) scholarships

More information

Proposal for Learning Community Program

Proposal for Learning Community Program Learning Communities are a collaborative effort among a sponsoring department/program/college and the Learning Community Program with the goal of supporting a students' academic success and assisting students

More information

Emergency Medical Technician Course Application

Emergency Medical Technician Course Application Community Health Network Emergency Medical Technician Course Application January 2018 First day of Class January 8,2018 EMERGENCY MEDICAL SERVICES & EDUCATION Thank you for your consideration in choosing

More information

Arizona GEAR UP hiring for Summer Leadership Academy 2017

Arizona GEAR UP hiring for Summer Leadership Academy 2017 GEAR UP Summer Leadership Academy (GUSLA) Arizona GEAR UP hiring for Summer Leadership Academy 2017 NAU/AZ GEAR UP will host a six (6) day summer enrichment experience for GEAR UP students on the NAU Mountain

More information

Chemistry 495: Internship in Chemistry Department of Chemistry 08/18/17. Syllabus

Chemistry 495: Internship in Chemistry Department of Chemistry 08/18/17. Syllabus Chemistry 495: Internship in Chemistry Department of Chemistry 08/18/17 Syllabus An internship position during academic study can be a great benefit to the student in terms of enhancing practical chemical

More information

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone:

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone: MARQUETTE UNIVERSITY HEALTH CAREERS OPPORTUNITY PROGRAM College Science Enrichment Program (CSEP) & Pre-Enrollment Support Program (PESP) Website: http://www.mu.edu/hcop INSTRUCTIONS: Please type or print

More information

MSW Application Packet

MSW Application Packet Stephen F. Austin State University Master of Social Work Program Accredited by: The Council on Social Work Education MSW Application Packet P. O. Box 6104, SFA Station 420 East Starr Avenue Nacogdoches,

More information

Manual for the internship visa program of the Fulbright Center

Manual for the internship visa program of the Fulbright Center Manual for the internship visa program of the Fulbright Center Introduction To gain work experience by doing an internship at a US company or non-profit organization is very useful. It may be a strong

More information

American College of Emergency Physicians National Emergency Medicine Medical Student Award Nomination Form. Due Date: February 14, 2012

American College of Emergency Physicians National Emergency Medicine Medical Student Award Nomination Form. Due Date: February 14, 2012 Nomination Form Due Date: February 14, 2012 Please follow instructions closely, and make sure you have included all requested information listed on the checklist. Electronic submissions only. Please refrain

More information

CONTRACT TENURED FACULTY

CONTRACT TENURED FACULTY APPENDIX D FORM A2 ADMINISTRATOR AND PEER EVALUATION FORM FOR CONTRACT TENURED FACULTY (The purposes of evaluation are described in Article 12 of the VCCCD Agreement) DATE OF VISIT: ARRIVAL TIME: DEPARTURE

More information

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science Application must be completed in black or blue ink only. STUDENT INFORMATION Name: Social Security # - - First Middle Last Address: Apt.# Phone: ( ) City: State: Zip Code: Date of Birth: Place of Birth:

More information

Program in Molecular Medicine

Program in Molecular Medicine Graduate Program in Life Sciences Program in Molecular Medicine Student and Faculty Handbook 2017-2018 UNIVERSITY OF MARYLAND GRADUATE SCHOOL UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE Graduate Program

More information

HONORS OPTION GUIDELINES

HONORS OPTION GUIDELINES HONORS OPTION GUIDELINES RATIONALE: The Honors Option has been established in order to offer upper level Honors students greater flexibility in fulfilling the Honors course requirements of departmental

More information

Student agreement regarding the project oriented course

Student agreement regarding the project oriented course Student agreement regarding the project oriented course Parties: The name of the company: Address: Postcode/town: VAT no.: (Hereafter the Company ) And Full name: Address: Postcode/town: (Hereafter the

More information

ALL DOCUMENTS MUST BE MAILED/SUBMITTED TOGETHER

ALL DOCUMENTS MUST BE MAILED/SUBMITTED TOGETHER LOUISIANA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY 37283 SWAMP ROAD, SUITE 3B PRAIRIEVILLE, LOUISIANA 70769 PHONE: (225) 313-6358 or (800) 246-6050 WWW.LBESPA.ORG licensure renewal

More information

Duke University. Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke

Duke University. Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke Office Use Only Durham, North Carolina Application Fee $30 received Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke BEFORE completing this application,

More information

SMILE Noyce Scholars Program Application

SMILE Noyce Scholars Program Application ONLINE POST-BABACCALAUREATE TEACHER PREPARATION PROGRAM SMILE yce Scholars Program Application Introduction: Rio Salado College is soliciting applicants for the Science and Math Innovative Learning Environments

More information

Enrollment Forms Packet (EFP)

Enrollment Forms Packet (EFP) Enrollment Forms Packet (EFP) Based on r student(s) grade and applicable circumstances, complete one enrollment package and review the information below to determine what should submit for each student

More information

Table of Contents. Internship Requirements 3 4. Internship Checklist 5. Description of Proposed Internship Request Form 6. Student Agreement Form 7

Table of Contents. Internship Requirements 3 4. Internship Checklist 5. Description of Proposed Internship Request Form 6. Student Agreement Form 7 Table of Contents Section Page Internship Requirements 3 4 Internship Checklist 5 Description of Proposed Internship Request Form 6 Student Agreement Form 7 Consent to Release Records Form 8 Internship

More information

Grant/Scholarship General Criteria CRITERIA TO APPLY FOR AN AESF GRANT/SCHOLARSHIP

Grant/Scholarship General Criteria CRITERIA TO APPLY FOR AN AESF GRANT/SCHOLARSHIP 2017-2018 Grant/Scholarship General Criteria CRITERIA TO APPLY FOR AN AESF GRANT/SCHOLARSHIP 1) Student(s) must attend an AESF member Episcopal school 2) An AESF Grant/Scholarship Application and supporting

More information

Completed applications due via online submission at by 11:59pm or to the SEC Information Desk by 7:59pm.

Completed applications due via online submission at  by 11:59pm or to the SEC Information Desk by 7:59pm. Center for Leadership Development Peer Leadership Consultants Recruitment and Selection Process Timeline 2015 2016 Academic Year Center for Leadership Development Student Leadership & Involvement DATES

More information

HiSET TESTING ACCOMMODATIONS REQUEST FORM Part I Applicant Information

HiSET TESTING ACCOMMODATIONS REQUEST FORM Part I Applicant Information Part I Applicant Information Instructions: Complete this entire form. Be sure to sign the Applicant s Verification Statement on the next page. Applicant s Name (please print leave one blank box between

More information

Queen's Clinical Investigator Program: In- Training Evaluation Form

Queen's Clinical Investigator Program: In- Training Evaluation Form Queen's Clinical Investigator Program: In- Training Evaluation Form Name of trainee: Date of meeting: Thesis/Project title: Can the project be completed within the recommended timelines 2 years MSc - 4/5

More information

New Student Application. Name High School. Date Received (official use only)

New Student Application. Name High School. Date Received (official use only) New Student Application Name High School Date Received (official use only) Thank you for your interest in Project SEARCH! By completing the attached application materials, you are taking the next step

More information

EARL WOODS SCHOLAR PROGRAM APPLICATION

EARL WOODS SCHOLAR PROGRAM APPLICATION 2017-2018 APPLICATION EARL WOODS Chairman in Memoriam, Tiger Woods Foundation Earl Woods was the last of six children born March 5, 1932 to Maude and Miles Woods in Manhattan, Kansas. He attended Kansas

More information

Oregon NASA Space Grant

Oregon NASA Space Grant 2016-17 Oregon NASA Space Grant Scholarship and Fellowship Program Guide Application Deadline: May 20, 2016 Oregon NASA Space Grant Consortium 92 Kerr Administration Building Corvallis, OR 97331-2103 Phone:

More information

2017 TEAM LEADER (TL) NORTHERN ARIZONA UNIVERSITY UPWARD BOUND and UPWARD BOUND MATH-SCIENCE

2017 TEAM LEADER (TL) NORTHERN ARIZONA UNIVERSITY UPWARD BOUND and UPWARD BOUND MATH-SCIENCE 2017 TEAM LEADER (TL) NORTHERN ARIZONA UNIVERSITY UPWARD BOUND and UPWARD BOUND MATH-SCIENCE The Academy (Upward Bound and Upward Bound Math-Science) is a five - week, comprehensive program that enables

More information

IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University

IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University Petitions will be accepted beginning 60 days before the semester starts for each academic semester. Petitions will

More information

Address. Zip Code City State Country

Address. Zip Code City State Country Application Form for a Scholarship awarded by the University of Fribourg Academic Year 2012-2013 Reseach Stay at PhD LEVEL / Application Deadline February, 28th 2012 for a stay during Autumn Semester (Term)

More information

INDEPENDENT STUDY PROGRAM

INDEPENDENT STUDY PROGRAM INSTRUCTION BOARD POLICY BP6158 INDEPENDENT STUDY PROGRAM The Governing Board authorizes independent study as a voluntary alternative instructional setting by which students may reach curricular objectives

More information

Internship Program. Employer and Student Handbook

Internship Program. Employer and Student Handbook Internship Program Employer and Student Handbook TABLE OF CONTENTS INTRODUCTION...2 Purpose...3 Long Term Goals...3 What is an Internship?...3 History...4 QUALIFICATIONS, BENEFITS & GETTING STARTED...4

More information

L E C O M. LECOM at BRADENTON HOSPITAL DAY 2017 MONDAY, AUGUST 21, 2017 The Ritz-Carlton Sarasota, FL

L E C O M. LECOM at BRADENTON HOSPITAL DAY 2017 MONDAY, AUGUST 21, 2017 The Ritz-Carlton Sarasota, FL LECOM at BRADENTON HOSPITAL DAY 2017 MONDAY, AUGUST 21, 2017 The Ritz-Carlton Sarasota, FL Sponsored by the Lake Erie College of Osteopathic Medicine (LECOM) An Invitation to All, The Administration and

More information

CONTINUUM OF SPECIAL EDUCATION SERVICES FOR SCHOOL AGE STUDENTS

CONTINUUM OF SPECIAL EDUCATION SERVICES FOR SCHOOL AGE STUDENTS CONTINUUM OF SPECIAL EDUCATION SERVICES FOR SCHOOL AGE STUDENTS No. 18 (replaces IB 2008-21) April 2012 In 2008, the State Education Department (SED) issued a guidance document to the field regarding the

More information

Application Form Master Course Altervilles First Year M1

Application Form Master Course Altervilles First Year M1 http://altervilles.universite-lyon.fr/ Application Form Master Course Altervilles 2015-2016 First Year M1 Application form to be sent to: christelle.morel.journel@univ-st-etienne.fr harold.mazoyer@sciencespo-lyon.fr

More information

Qualitative Site Review Protocol for DC Charter Schools

Qualitative Site Review Protocol for DC Charter Schools Qualitative Site Review Protocol for DC Charter Schools Updated November 2013 DC Public Charter School Board 3333 14 th Street NW, Suite 210 Washington, DC 20010 Phone: 202-328-2600 Fax: 202-328-2661 Table

More information

Department of Education School of Education & Human Services Master of Education Policy Manual

Department of Education School of Education & Human Services Master of Education Policy Manual Department of Education School of Education & Human Services Master of Education Policy Manual Prepared by: Dr. Stacey Brown-Hobbs Elizabeth C. Monahan, PDS Liaison Edited by: Carolyn L. Cook, Director

More information

DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION

DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION The Coalition for Asian American Children and Families (CACF) is

More information

2018 Kentucky Teacher of the Year

2018 Kentucky Teacher of the Year 2018 Kentucky Teacher of the Year OFFICIAL APPLICATION FORM Program sponsored by the Kentucky Department of Education and Valvoline ELIGIBILITY CRITERIA CRITERIA participate in the Kentucky Teacher of

More information

Keene State College SPECIAL PERMISSION FORM PRACTICUM, INTERNSHIP, EXTERNSHIP, FIELDWORK

Keene State College SPECIAL PERMISSION FORM PRACTICUM, INTERNSHIP, EXTERNSHIP, FIELDWORK Keene State College SPECIAL PERMISSION FORM PRACTICUM, INTERNSHIP, EXTERNSHIP, FIELDWORK DEPARTMENT NUMBER (Official use only) CREDITS COURSE TITLE: STUDENT NAME: (print) TERM: ID#: COURSE OUTLINE: Description

More information

Internship Program. Application Submission completed form to: Monica Mitry Membership and Volunteer Coordinator

Internship Program. Application Submission  completed form to: Monica Mitry Membership and Volunteer Coordinator Internship Program The Museum of Arts and Sciences offers a variety of internships on a flexible and ongoing basis. Internships offer the opportunity to gain valuable, practical experience while receiving

More information

2013 Kentucky Teacher of the Year

2013 Kentucky Teacher of the Year 2013 Kentucky Teacher of the Year OFFICIAL APPLICATION FORM Program sponsored by the Kentucky Department of Education and Ashland Inc. ELIGIBILITY CRITERIA CRITERIA participate in the Kentucky Teacher

More information

SHEEO State Authorization Inventory. Kentucky Last Updated: May 2013

SHEEO State Authorization Inventory. Kentucky Last Updated: May 2013 SHEEO State Authorization Inventory Kentucky Last Updated: May 2013 Please note: For purposes of this survey, the terms authorize and authorization are used generically to include approve, certify, license,

More information

Argosy University, Los Angeles MASTERS IN ORGANIZATIONAL LEADERSHIP - 20 Months School Performance Fact Sheet - Calendar Years 2014 & 2015

Argosy University, Los Angeles MASTERS IN ORGANIZATIONAL LEADERSHIP - 20 Months School Performance Fact Sheet - Calendar Years 2014 & 2015 SCHOOL PERFORMANCE FACT SHEET CALENDAR YEARS 2014 & 2015 On Time Completion Rates (Graduation Rates) Calendar Year Number of Students Who Began the Program Students Available for Graduation Number of On

More information

Oakland University OU STEP

Oakland University OU STEP Application to Program This packet includes the information, instructions, and forms that you will need to submit an application to the Oakland University Secondary Teacher Education Program (). The STEP

More information

Collins Hill High School Student Government Association Application for Membership

Collins Hill High School Student Government Association Application for Membership Collins Hill High School Student Government Association Application for Membership 2015-2016 Students who would like to be a member of the Collins Hill SGA must turn in a typed application and 3 faculty

More information

Interview Contact Information Please complete the following to be used to contact you to schedule your child s interview.

Interview Contact Information Please complete the following to be used to contact you to schedule your child s interview. Cabarrus\Kannapolis Early College High School Interview Contact Information Please complete the following to be used to contact you to schedule your child s interview. Student Name Student Number Middle

More information

SCHOOL PERFORMANCE FACT SHEET CALENDAR YEARS 2014 & TECHNOLOGIES - 45 Months. On Time Completion Rates (Graduation Rates)

SCHOOL PERFORMANCE FACT SHEET CALENDAR YEARS 2014 & TECHNOLOGIES - 45 Months. On Time Completion Rates (Graduation Rates) SCHOOL PERFORMANCE FACT SHEET CALENDAR YEARS 2014 & 2015 On Time Completion Rates (Graduation Rates) Calendar Year Number of Students Who Began the Program Students Available for Graduation Number of On

More information

CHARTER SCHOOL APPLICATION TIMELINE

CHARTER SCHOOL APPLICATION TIMELINE CHARTER SCHOOL APPLICATION TIMELINE May 1, 2017 DRAFT APPLICATION May 16, 2017 Hard Copied Application Early submittal with (1) one flash drive consisting of an identical version of the Hard Copied Application

More information

SHEEO State Authorization Inventory. Indiana Last Updated: October 2011

SHEEO State Authorization Inventory. Indiana Last Updated: October 2011 SHEEO State Authorization Inventory Indiana Last Updated: October 2011 NOTE: While the responses below reflect the ICOPE survey results from October 2011, multiple changes in state authorization are currently

More information

COMMUNITY RESOURCES, INC.

COMMUNITY RESOURCES, INC. COMMUNITY RESOURCES, INC. 3245 E. Exposition Ave Denver, Colorado 80209 Voice: 720-424-2300 Fax: 720-424-2301 Website: www.communityresourcesinc.org ACADEMIC MENTORS PROJECT STUDENT NOMINATION FORM (P.

More information

The Foundation Academy

The Foundation Academy The Foundation Academy 3675 San Pablo Road South, Jacksonville, FL 32224 PH (904) 493-7300 FAX (904) 821-1247 www.foundationacademy.com Application for Admission School Year 2014-2015 Enrollment is capped

More information

North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges Student Application

North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges Student Application North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges Student Application Instructions: Complete this application and return the completed application to the college s Financial

More information

SAN JACINTO COLLEGE JOB DESCRIPTION

SAN JACINTO COLLEGE JOB DESCRIPTION SAN JACINTO COLLEGE JOB DESCRIPTION TITLE: DEPARTMENT: Director, Dual Credit Dual Credit SECURITY SENSITIVE: Yes FLSA STATUS 1 : Exempt SALARY GRADE: 29 FUNCTION: REPORTS TO: SUPERVISES: Assistant Vice

More information

Schock Financial Aid Office 030 Kershner Student Service Center Phone: (610) University Avenue Fax: (610)

Schock Financial Aid Office 030 Kershner Student Service Center Phone: (610) University Avenue Fax: (610) Schock Financial Aid Office 030 Kershner Student Service Center Phone: (610) 436-2627 25 University Avenue Fax: (610) 436-2574 West Chester, PA 19383 E-Mail: finaid@wcupa.edu Title IV Federal Student Aid

More information

Application for Admission

Application for Admission Application for Admission Princeton University The Graduate School Exchange/Visiting Student Scholar Program (nondegree) UPON COMPLETION, PLEASE SEND TO THE GRADUATE ADMISSIONS OFFICE ONE CLIO HALL PRINCETON,

More information

Information and Instructions

Information and Instructions Application for Admission: Radiation Therapy Certificate Program The University of North Carolina Hospitals Department of Radiation Oncology Information and Instructions 1. Use this application only for

More information

Please fill in the application form below if you wish to apply for any of the study programs of the Faculty of Humanities.

Please fill in the application form below if you wish to apply for any of the study programs of the Faculty of Humanities. 20170112-001 Application Form for International Students EÖTVÖS LORÁND UNIVERSITY FACULTY OF HUMANITIES APPLICATION FORM FOR INTERNATIONAL STUDENTS ACADEMIC YEAR 2017/2018 INTERNATIONAL STUDENT APPLICATION

More information

Casual and Temporary Teacher Programs

Casual and Temporary Teacher Programs Guidelines The (TRS) is an initiative of the Casual School Teacher Plan to assist schools which are experiencing difficulty in attracting and engaging suitable relief teachers. Schools may be provided

More information

CROSS-BATTERY ASSESSMENT, SLD DETERMINATION, AND THE ASSESSMENT- INTERVENTION CONNECTION

CROSS-BATTERY ASSESSMENT, SLD DETERMINATION, AND THE ASSESSMENT- INTERVENTION CONNECTION NOVA SOUTHEASTERN UNIVERSITY College of Psychology CROSS-BATTERY ASSESSMENT, SLD DETERMINATION, AND THE ASSESSMENT- INTERVENTION CONNECTION Presenter: Dawn Flanagan, Ph.D. Friday, October 27, 2017 9:00

More information

Consumer Textile Product Design and Development

Consumer Textile Product Design and Development Proposal for Graduate Certificate in Consumer Textile Product Design and Development Department of Textile and Apparel, Technology and Management College of Textiles Recommended: Abdel-Fattah Seyam, Chair,

More information

WEST VIRGINIA UNIVERSITY

WEST VIRGINIA UNIVERSITY WEST VIRGINIA UNIVERSITY CALL TO ARTISTS REQUEST FOR STUDENT PROPOSALS RFP9099999W Athletic Facility Cleaning Services HSC Beautification Project Wall Murals DATED: October 24, 2013 1. INTRODUCTION AND

More information

Braiding Funds. Registered Apprenticeship

Braiding Funds. Registered Apprenticeship Braiding Funds to Support Registered Apprenticeship Michigan Works! Annual Conference Mt. Pleasant, MI October 3, 2016 Today s Session Moderator: Marcia Black-Watson, Michigan Talent Investment Agency

More information

The FPA Diversity Scholarship Program is available for the following FPA National Conferences:

The FPA Diversity Scholarship Program is available for the following FPA National Conferences: Guidelines Overview The primary aim of the Financial Planning Association (FPA ) is to be the community that fosters the value of financial planning and advances the financial planning profession. FPA

More information

RESIDENCE DON APPLICATION

RESIDENCE DON APPLICATION RESIDENCE DON APPLICATION 2016-17 Application deadline: Monday, January 18, 2016 at 9am Application Submission: Steve Masse Assistant to the Dean, Residence Life 321 Bloor Street West Toronto, ON M5S 1S5

More information

Youth Apprenticeship Application Packet Checklist

Youth Apprenticeship Application Packet Checklist Youth Apprenticeship Application Packet Checklist Incomplete applications will not be forwarded to hiring companies and will delay the application process. A complete application packet should consist

More information

Indiana Corrections Leadership Academy Community Corrections Probation - Parole

Indiana Corrections Leadership Academy Community Corrections Probation - Parole Indiana Corrections Leadership Academy 1 Indiana Corrections Leadership Academy Community Corrections Probation - Parole Instructions- Please carefully read all the Leadership Academy information and requirements

More information

HIGHLAND HIGH SCHOOL CREDIT FLEXIBILITY PLAN

HIGHLAND HIGH SCHOOL CREDIT FLEXIBILITY PLAN HIGHLAND HIGH SCHOOL CREDIT FLEXIBILITY PLAN TABLE OF CONTENTS Overview 1 Eligible Credit Flexibility Plans 2 Earned Credit from Credit Flexibility Plans 2 Student Athletes 3 Application Process 3 Final

More information

Boys & Girls Club of Pequannock 2017 Summer Camp Registration COMPLETE BOTH SIDES

Boys & Girls Club of Pequannock 2017 Summer Camp Registration COMPLETE BOTH SIDES Boys & Girls Club of Pequannock 2017 Summer Camp Registration COMPLETE BOTH SIDES Child s Name: Date of Birth: Address: Age: Gender: City: State: Zip: Grade in Sept 17 : Home Phone: Emergency Phone: T-Shirt

More information

Spring North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges

Spring North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges Spring 2017 North Carolina Community Colleges Instructions: Complete the following application and return to the college s Financial Aid Office. Application Deadline: March 1, 2017 March 7, 2017 Contact:

More information

JEFFERSON COLLEGE LAW ENFORCEMENT ACADEMY Continuing Education Provider. Individual Contract

JEFFERSON COLLEGE LAW ENFORCEMENT ACADEMY Continuing Education Provider. Individual Contract JEFFERSON COLLEGE LAW ENFORCEMENT ACADEMY Continuing Education Provider a CALEA accredited training facility Individual Contract Jefferson College Law Enforcement Academy (JCLEA) offers 12 months of continuing

More information

DOCENT VOLUNTEER EDUCATOR APPLICATION Winter Application Deadline: April 15, 2013

DOCENT VOLUNTEER EDUCATOR APPLICATION Winter Application Deadline: April 15, 2013 DOCENT VOLUNTEER EDUCATOR APPLICATION Winter 2013 Application Deadline: April 15, 2013 We appreciate your interest in the VBMA Docent Program! Last year docents provided more than 5,700 volunteer hours,

More information

International Application Form

International Application Form International Application Form Please complete ALL sections of this form clearly and accurately. If information is missing, or we cannot read some of the sections we will not be able to process your application.

More information

Curricular Practical Training (CPT) is a type of employment authorization for students in F-1 status who Eligibility

Curricular Practical Training (CPT) is a type of employment authorization for students in F-1 status who Eligibility International Services Office 116 Allen Hall, PO Box 9742 Mississippi State, MS 39762 (phone) 662.325.8929 (fax) 662.325.4242 Student Guide to Curricular Practical Training (CPT) The Office of International

More information