Please complete the information required below. In one email, attach this form, at least one letter of
recommendation and your CV. This package must be submitted to Dr. Rima Aranha (Director pf Strategic
Initiatives firstname.lastname@example.org) no later than December 6, 2019.
Office phone: ( )- - Cell phone: ( )- -
Touro College School/Program:
Years with Touro:
SIGNATURE OF APPLICANT:
I support the application of the above and am prepared to provide release from other duties for participation in
nine full-day sessions on one Thursday each month, beginning January 23, 2020, and excluding the months of July
and August 2020.
(Print Name here)
APPLICATION TO PARTICIPATE IN THE TOURO COLLEGE
ACADEMY OF LEADERSHIP AND MANAGEMENT (TCALM)
TOURO COLLEGE ACADEMY OF LEADERSHIP AND MANAGEMENT APPLICATION 2020