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 rima.aranha@touro.edu) no later than December 6, 2019.
APPLICANT INFORMATION:
Full Name:
Touro Email:
Office phone: ( )- - Cell phone: ( )- -
Touro College School/Program:
Location:
Current Position:
Years with Touro:
SIGNATURE OF APPLICANT:
X Date:
SUPPORTING SUPERVISOR:
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.
X Date:
X Date:
(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
TOURO COLLEGE ACADEMY OF LEADERSHIP AND MANAGEMENT
APPLICATION 2020
APPLICANT: PLEASE RESPOND IN APPROXIMATELY 500 WORDS WHY YOU DO WANT TO PARTICIPATE
IN
THIS PROGRAM AND WHAT DO YOU HOPE TO LEARN?