application for admission - touro college · 03/01/2019 · college in flatbush enables students...

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LANDER COLLEGE DIVISIONS OF TOURO COLLEGE

Where Knowledge and Values Meet

APPLICATION for

ADMISSION

LANDER COLLEGE OF ARTS & SCIENCES IN FLATBUSH SCHOOL FOR MEN

LANDER COLLEGE OF ARTS & SCIENCES IN FLATBUSH SCHOOL FOR WOMEN

LANDER COLLEGE FOR MEN BEIS MEDRASH L TALMUD (QUEENS)

LANDER COLLEGE QUEENS EVENING PROGRAM FOR MEN

LANDER COLLEGE FOR WOMEN THE ANNA RUTH & MARK HASTEN SCHOOL (MANHATTAN)

Office of Admissions • 1602 Avenue J, Room 207, Brooklyn, NY 11230

DIVISIONS OF TOURO COLLEGE 718.535.9299 | Fax: 718.338.6295 • [email protected]

LANDER COLLEGE

Dear Applicant,

Thank you for your interest in the Lander Divisions of Touro College where you can prepare for your future without

compromising your personal values and perspectives. Touro’s wide range of academic offerings and our cutting edge, career-

oriented internship programs are enriched by a challenging array of Judaic Studies courses.

THE LANDER COLLEGE DIVISIONS OF TOURO COLLEGE

The Lander Divisions offers more than 20 majors, concentrations and pre-professional options in such fields as accounting

and business, computer science, education/special education, finance, health sciences (occupational and physical therapy and

physician assistant), math, pre-law, pre-medicine, pre-dentistry, psychology and speech pathology. Classes are deliberately kept

small to allow students as much one-to-one contact as possible. Small classes enable professors to teach and interact with

students rather than lecture to halls full of social security numbers. Also, the Honors Tracks in the Health Sciences and the

Medical Honors Pathway are collaborative programs with outstanding Touro College graduate school programs which prepare

students for careers as physicians, pharmacists, occupational therapists, physical therapists, physician assistants, or speech-

language pathologists. Through the Touro College Israel Option, students can earn college credit for a year of intensive

Jewish studies in Israel.

The Lander College in Flatbush: The Lander College of Arts and Sciences in Flatbush (LAS), with separate divisions for men

and women, offers motivated students a wide array of majors and pre-professional options and honors programs, enabling

them to pursue a high quality education in an environment that is supportive of their Torah values, and attentive to their per-

sonal goals. Students also complete a set of core courses to develop competencies essential for professional advancement.

With its flexible schedule of evening courses for men, and afternoon, evening and Sunday courses for women, the Lander

College in Flatbush enables students to concurrently continue their yeshiva or seminary studies. Extracurricular activities and

an effective Career Placement office enhance the students’ academic experience. The seven-story state-of-the-art campus is

located in the heart of Flatbush, adjacent to bus and subway transportation, with many kosher restaurants, shopping, Jewish

bookstores and shuls nearby.

Lander College for Women - The Anna Ruth and Mark Hasten School (Manhattan): The Lander College for Women (LCW) en-

ables students to pursue their career aspirations in a vibrant academic environment defined by Torah values. Students can earn

their BA or BS degree after completing their choice of major, Core Curriculum studies in Judaic Studies and Humanities. The

acclaimed LCW Honors Program offers academically accomplished students an enhanced course of study complimented by ex-

¬tracurricular lectures and events. LCW’s location on the Upper West Side of Manhattan provides students with the opportunity to

study and live in student residences in the center of a dynamic Jewish Community and a cultural and educational corridor.

Lander College for Men (Queens): The Lander College for Men (LCM) provides a balanced dual curriculum of intensive Torah

study in a vibrant beis medrash combined with rigorous academic studies, in a lively warm and nurturing environment, as well

as a convenient evening program for students learning in yeshivos nearby. Faculty are award-winning and dedicated, and grad-

uates are accepted in exceptionally high rates to graduate and professional programs in a variety of competitive fields. LCM’s

location in a beautiful, recently constructed seven acre campus in Kew Gardens Hills, Queens, one of New York City’s most

attractive Jewish neighborhoods, with ample playing fields and townhouse style dormitory apartments, provides students an

ideal location to learn and study.

If you have any questions or would be interested in visiting our school and sitting-in on classes, please feel free to contact the

Office of Admissions at 718.535.9299 or [email protected]. We look forward to receiving your application soon!

Sincerely yours,

Meir Weiss Rabbi Justin Gershon Rabbi Barry Nathan Sarah Klugmann

Director of Enrollment Management Director of Recruitment Director of Recruitment Director of Recruitment

All Lander College Divisions LAS, Separate Divisions LCM LCW – The Anna Ruth

[email protected] for Men and Women [email protected] and Mark Hasten School

[email protected] [email protected]

mailto:[email protected]:[email protected]

LANDER COLLEGEDIVISIONS OF TOURO COLLEGELANDER COLLEGE DIVISIONS OF TOURO COLLEGE

LANDER DIVISIONS ADMISSIONS PROCEDURES & APPLICATION INSTRUCTIONS

Application Deadlines

Students are encouraged to submit their application for admission to Lander Divisions as early as possible. Students may

be admitted for the Fall, Spring, or Summer semesters. The following are the suggested deadlines for each semester:

• Summer: May 15

• Fall: July 15

• Spring: December 15

Please note the following deadlines that are earlier than above:

Touro College Israel Option: June 15th (Applications received past that date will be considered for the fall semester of the following year)

Lander College for Women Honors Program: November 1, 2019, Early decision deadline; January 22, 2020, Regular Deadline

Other Lander College Divisions Honors Programs, Medical Honors Pathway and Integrated Health Science Honors: March 1

(Supplemental honors application must be submitted)

Application Materials AN APPLICATION IS CONSIDERED COMPLETE ONLY WHEN ALL OF THE FOLLOWING HAVE BEEN RECEIVED BY THE OFFICE OF ADMISSIONS:

¨ Lander Divisions Application for Admission

¨ Application fee of $50: The application fee is non-refundable

and can be paid by check or money order (made out to Touro

College). The application fee is waived if the student submits the

application while in Israel to the Touro College office in Jerusa-

lem.

¨ Standardized Test Scores: The Committee on Admissions

strongly recommends all applicants to the Lander Divisions take

either the Scholastic Assessment Test (SAT) or the American

College Testing Program examination (ACT). The SAT or ACT is

mandatory for students who wish to be considered (a) for an

academic scholarship, (b) an early admissions candidate or (c)

to the Lander College for Women. Students should arrange to

have their scores sent to the Office of Admissions. Touro Col-

lege’s score report number for the SAT is 2902; for the ACT, it is

2961. (Please note: Self-reporting of the scores on the application

does not replace the need for official documentation.)

¨ Transcripts: Official transcripts of all high school and college

work should be mailed to the Office of Admissions directly from

the school or submitted by the applicant in a signed and sealed

envelope. Transcripts must bear the student’s legal name, contain

the school’s seal, and indicate the student’s date of graduation,

if applicable. All high school and college level work - degree and

non-degree - must be submitted, even if the student does not

intend or expect to transfer credit (Please note: Transcripts sent

via fax or e-mail are not considered official).

¨ Interview / English Proficiency Examination: The Committee

on Admissions may request that an applicant report for a personal

interview with a representative of the college. They may also be

asked to take an English proficiency examination. These items will

be used in evaluating the applicant’s candidacy for admissions.

¨ Interview / Gemara proficiency: The Committee on Admis-

sions for the Lander College for Men requires that all applicants

have a personal interview with a representative of the college.

During this interview the student’s proficiency in Gemara will be

assessed. These items will be used in evaluating the applicant’s

candidacy for admissions.

All materials should be sent to:

LANDER DIVISIONS OF TOURO COLLEGE | OFFICE OF ADMISSIONS

1602 AVENUE J, ROOM 207 • BROOKLYN, NY 11230



Guide for Completing the Application

ITEM 3: ADMISSIONS CATEGORY

• Choose Freshman if you are applying for admission after

completing high school, even if you have taken college-lev-

el work while in high school.

• Choose Freshman / Early Admission if you are applying to

Lander College for admission upon completion of your ju-

nior year of high school.

• Choose Transfer if you have completed high school and

are now attending (or have previously attended) another

college, university, yeshiva or seminary.

• Choose Visitor (Non-Matriculated) if you do not wish to

pursue a degree from Lander College. If you are presently

attending another college or university you must provide a

permit letter from your school’s registrar stating that you

have permission to take the specific course or courses. Vis-

iting students must provide unofficial transcripts of the col-

leges they have attended, although the college reserves the

right to request official transcripts.

ITEM 6: DIVISION OF LANDER COLLEGE. Indicate the divi-

sion to which the prospective student is applying. Students

who wish to participate in the Touro College Israel Option must

select the division that they wish to enroll in and will attend

following their year of study abroad.

Choose Other if you are applying to:

Lander College for Men Bais Medrash L’Talmud Kollel (post-baccalaureate)

Yeshivas Ohr Hachaim, undergraduate

Yeshivas Ohr Hachaim Kollel (post-baccalaureate)

ITEM 7: ISRAEL OPTION. Please complete the application

addendum.

ITEM 9: SOCIAL SECURITY NUMBER. A Social Security number

is not required for admission to the college. However, in order to

eventually register for courses with Touro College, a Social Se-

curity number is required. Foreign students who do not have a

Social Security number should leave this blank.

HIGH SCHOOL TRANSCRIPTS: The High School Transcript

Request Form should be submitted to any high school attended.

The school should return the form along with your transcripts

directly to the Office of Admissions.

SIGNATURE: Be sure to sign your application. If you are under 18

years of age, your parent or guardian must sign as well.

PERSONAL STATEMENT: The Personal Statement should be

typed and submitted with the original application. Be sure to

include the applicant’s name and date of birth on each sheet.

Attach additional sheets if more room is required to answer any

of the questions on the application. Be sure to include the appli-

cant’s name and date of birth on each additional sheet.

DID YOU REMEMBER TO?

èè sign your application? (if you are not yet 18 years of age, you parent or guardian must also sign)

èè choose a division? (See item 6)

èè complete the Personal Statement?

èè indicate when you took the SAT or ACT? (See item 27)

The correct completion of your application will prevent delays in processing. It is the applicants’ responsibility to ensure that all application materials are provided in a timely manner. It is recommended that applicants periodically check with the Ofce of Admissions to verify that all materials have been received.

(Please note: Correspondence from any office at Touro College/ Lander Division (including a Dean’s office) other than the Office of Admissions, is NOT an indication of acceptance to any of the Lander Divisions.)



Important Information for Application to the Touro College Israel Option

Please Read Carefully

Applicants who are planning to spend a year of post-

high school study in Israel at one of the affiliated

Israeli institutions through the Israel Option must apply

separately to both the Lander Division they wish to attend

and the desired Israeli institution. Applicants seeking

admission to participate in the Touro College Israel Option

should carefully follow the Lander Division application

instructions and submit the Application Addendum along

with the regular Lander Division application. The Touro

College Israel Option has a firm deadline of June 15th for

the academic year beginning in the fall of the same year.

Both the Lander Division and the Israeli institutions affil-

iated with the Touro College Israel Option maintain com-

pletely independent application and admissions process-

es. Acceptance to one of the Lander Divisions is not a

guarantee of admission to any of the Israeli Institutions.

To be eligible to participate in the Touro College Israel Op-

tion an applicant must be fully accepted (no credit limita-

tions) to one of the Lander Divisions as well as accepted

to one of the affiliated Israeli institutions. If an applicant

is admitted on a probationary or non-matriculated basis,

they will not be eligible for TCIO.

Students who are eligible to participate in the TCIO will

receive a TCIO enrollment packet. The items in that packet

will need to be completed and submitted to Touro College

in order to be enrolled in the TCIO.

Financial aid from federal and New York state agencies is

generally available for students who are eligible to partici-

pate in the Israel Option just as if they were attending one

of the New York campuses of Touro College. Eligibility for

fnancial aid is neither a guarantee of acceptance to Tou-

ro College nor a guarantee of eligibility for the Touro

College Israel Option. Please refer to the Lander Division

Financial Aid brochure for additional information.

NO STUDENT WILL BE CONSIDERED AN OFFICIAL

TOURO COLLEGE ISRAEL OPTION PARTICIPANT UNTIL:

1. The student receives an acceptance letter indicating that he/she has been fully accepted to the Lander

Division to which they applied (Probationary and

non-matriculated students are not eligible to partici-

pate in the Israel Option);

2. The student completes, signs, and returns the Financial Contract to participate in the Touro College Israel Op-

tion along with the required fees and documentation.

Remember, while in Israel the student must register for

courses in the fall and spring semesters.

PLEASE REFER TO THE TOURO COLLEGE ISRAEL

OPTION BROCHURE FOR MORE INFORMATION.


LANDER DIVISIONS APPLICATION FEE

$50 CHECK OR MONEY ORDER

(no cash please)

Student Name: _______________________________

Touro ID # (if known): _______________________________

CHECK THE DIVISION(S) TO WHICH YOU ARE APPLYING:

o LANDER COLLEGE IN FLATBUSH / SCHOOL FOR MEN

o LANDER COLLEGE IN FLATBUSH / SCHOOL FOR WOMEN

o LANDER COLLEGE FOR MEN / BEIS MEDRASH L’TALMUD / QUEENS

o LANDER COLLEGE / QUEENS EVENING PROGRAM FOR MEN

o LANDER COLLEGE FOR WOMEN / THE ANNA RUTH & MARK HASTEN SCHOOL / MANHATTAN

o TCI-JERUSALEM UNDERGRADUATE DIVISION

o FRESHMAN CENTER


_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

LANDER DIVISIONS ADMISSIONS

Transcript and SAT/ACT Score Request

TO THE APPLICANT:

Fill in your name, address, years of attendance and social security number and give this form to the record office of the high school you are currently attending or graduated from.

TO THE HIGH SCHOOL RECORD OFFICE OF ________________________________________________ Name of School

Student’s name Social Security/ Social Insurance # (optional)

Street number & name City, state and ZIP/Postal Code

attended your school from _____ /_____ , to _____ /_____, and is applying for admission to the Lander Divisions of Touro College.

I authorize the Office of Admissions to contact the high school directly regarding all aspects of the transcript including but not limited to the original request to send a transcript and obtaining a final transcript after graduation (Note: any fees associated with sending a transcript are solely the responsibility of the student).

Signed: ___________________________________________________________________ Date: ___________________________________

"



TO THE APPLICANT:

If you attended more than one high school, fill in your name, address, years of attendance and social security number and give this form to the record office of the high school you previously attended.

TO THE HIGH SCHOOL RECORD OFFICE OF ________________________________________________ Name of School

Student’s name Social Security/ Social Insurance # (optional)

Street number & name City, state and ZIP/Postal Code

attended your school from _____ /_____ , to _____ /_____, and is applying for admission to the Lander Divisions of Touro College.

I authorize the Office of Admissions to contact the high school directly regarding all aspects of the transcript including but not limited to the original request to send a transcript and obtaining a final transcript after graduation (Note: any fees associated with sending a transcript are solely the responsibility of the student).

Signed: ___________________________________________________________________ Date: ___________________________________

(over)




TO THE HIGH SCHOOL:

Please send the Office of Admissions a transcript of the high school record and copies of SAT and /or ACT scores

for the student named above, as soon as possible.

Please make sure the transcript:

1. refers to the student using his/ her LEGAL name

2. has a raised seal

3. has the date of graduation, if appropriate

All transcripts should be sent to:



Thank you for your assistance in following the guidelines above.

"



TO THE HIGH SCHOOL:

Please send the Office of Admissions a transcript of the high school record and copies of SAT and /or ACT scores

for the student named above, as soon as possible.

Please make sure the transcript:

1. refers to the student using his/ her LEGAL name

2. has a raised seal

3. has the date of graduation, if appropriate

All transcripts should be sent to:



Thank you for your assistance in following the guidelines above.

____________________________ ____________________________ ____________________________ ___________________________


For Office Use Only

Received: ________ $50 Fee: ________ Source: ________ Adm. #: ________

Office of Admissions • 1602 Avenue J, Room 207, Brooklyn, NY 11230 • 718.535.9299 | Fax: 718.338.6295 • [email protected]

LANDER DIVISIONS OFFICE OF ADMISSIONS

General Information Please indicate the appropriate response below:

1. Semester of expected entry: o Fall o Spring o Late Spring (Post-Pesach at Flatbush Men or LCM)

o Summer o Late Summer (at Flatbush Men only)

2. Year of expected entry: ___________

3. I am entering as a: o Freshman o Freshman - Early Admission o Re-applicant o Transfer from another Touro division o Transfer from an outside institution o Visitor (Non-Matriculated)

4. I plan to be a: o Commuter o Dormitory Resident (where available)

5. I plan to major in: _____________________________________

6. Check the division to which you are applying (you must check one, even if you plan to participate in the Israel Option):

o Lander College in Flatbush/ School for Men o Lander College for Women / The Anna Ruth & Mark Hasten School (Manhattan) o Lander College in Flatbush/ School for Women

o Jerusalem Undergraduate Division (TCI) o Lander College for Men / Beis Medrash L’Talmud (Queens) o Freshman Center

o Lander College / Queens Evening Program for Men o Other: ____________________________________

7. During my first year as a Touro student, I wish to participate in the Israel Option (TCIO): o Yes o No

Personal Information 8. Name (please use your legal name as found on your birth certificate, marriage certificate or passport): o Miss o Mr. o Mrs. o Rabbi

Last First Middle/Maiden Preferred

9. Social Security number: _______ - _______ - _________ 10. o Male o Female 11. o Single o Married

12. Email Address (mandatory): _____________________________ @ ______________

13. Telephone: ____________________________ ____________________________ ____________________________ Home Cell Israel Phone

14. Permanent Address: ______________________________________ _______ __________________ _______ ____________ Number and Street Apt # City State Zip/Postal Code

Current Address: _________________________________________ _______ __________________ _______ ____________ (if different from permanent) Number and Street Apt # City State Zip/Postal Code

15. Date of Birth: _____ /______ /_____ 16. Place of Birth: _________________________ /_______ /_________________ Month Day Year City State Country

17. I have been living in New York State since: o Birth o _____ /______ /_____ Month Day Year

18. Are you a US citizen? o Yes o No (If no, please complete the next section.)

mailto:[email protected]


International Students (complete 19-24)

19. Country of Citizenship: _______________________ 20. Country of Residency: ______________________________

21. First Language: _____________________________

22. o Permanent Resident Number or o Visa type: _______________________ 23. o I am not a permanent resident

24. I have been living in the United States since: _____ /______ /_____ Month Day Year

Previous Education

25. Please list all secondary schools (high schools, grades 9-12) attended with the most recent school first.

Name of School Grades Attended Location (City, State, ZIP) Graduation Date (expected)

1. /

2. Month Year

(2 12)

3. School Phone

4. Counselor’s name

26. Secondary School (High School) College Board Code Number (available from your counselor): ___________________________________

27. Please indicate when you took or will take the: o SAT _______ /_______ o ACT _______ /_______

1st testing _______ /_______ o took o will take

Reading _____ Math ______(Written) ______ Total ______

2nd testing _______ /_______ o took o will take

Reading _____ Math ______(Written) ______ Total ____

28. o I did not / do not plan to take the SAT or ACT (this question is not applicable to US high school students/graduates who are applying to the Freshman Center or Lander College for Women- The Anna Ruth & Mark Hasten School).

29. List all colleges, universities, yeshivos, and/or seminaries (including Israel programs/options) previously attended, or in which you are currently enrolled. This section must be completed whether or not transfer credit is desired.

Name of School From To Credit Hours

Attempted to Date Cumulative Grade Average to Date

Degrees (Please indicate if received

or when expected) Month Year Month Year

1.

2.

3.


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Extracurricular Activities

30. Please list your extracurricular, community and work experience:

Activity/Work Experience

Participation by grade Approximate Number of Hours

Per Week Involved

Position, Office, and/ or Honors 9th 10th 11th 12th Post HS

1.

2.

3.

4.

Be sure to list specific NCSY involvement in the above section.

Family Information

31. o Father’s Name OR o Husband’s Name (If applicable)

Last First

o Living o Deceased

Home Address (if different from applicant’s)

City State Zip

Highest Grade or Degree Completed

Name of College(s) attended

Employer: ___________________________________________

Job Title: _____________________________________________

Business Address: ______________________________________

City State Zip

Business Phone: ( ______ ) ______________________________

E-mail address: _______________________@________________

Additional Information 33. How did you learn about the Lander Divisions of Touro College?

o Guidance Counselor o Current or former student

32. o Mother’s Name OR o Wife’s Name (If applicable)

Last First

o Living o Deceased

Home Address (if different from applicant’s)

City State Zip

Highest Grade or Degree Completed

Name of College(s) attended

Employer: ___________________________________________

Job Title: _____________________________________________

Business Address: ______________________________________

City State Zip

Business Phone: ( ______ ) ______________________________

E-mail address: _______________________@________________

o Advertisement (Please indicate name of newspaper/magazine): ____________________

o Other ______________________________________________________________


--

___________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

34. Do you have immediate family members who have attended or are currently attending Touro College? o Yes o No

If yes, please give name, relationship and years of attendance: _______________________________________________________

35. Please list the names and ages of your brothers and/or sisters (attach an additional page if necessary):

1. ______________________ 2. ______________________ 3. ______________________ 4. ______________________

36. Do you have family members who are employed by Touro College? o Yes o No

If yes, please give name, relationship and College/Department in which employed: ___________________________________

37. Do you plan to request Financial Aid during your first academic year? o Yes o No

38. Give the names of two people, one preferably a clergyman (and neither related to you), who will serve as references. Be sure to ask them to forward their letters of recommendation directly to the Ofce of Admissions.

Name Email Address Telephone # Position

Name Email Address Telephone # Position

39. Special Demographic Data

The information requested below is being collected from U.S. citizens and permanent residents to meet research and federal reporting require-ments. It is confidential and will be released only as statistical summaries in which individuals are not identified. Response is voluntary. The informa-tion has no bearing on either admission or academic decisions.

A. What is your ethnicity? o Hispanic or Latino o Not Hispanic or Latino

B. Select one or more race o American Indian/Alaskan Native o Asian o White o Black or African American o Native Hawaiian or other Pacific Islander

Personal Statement Please choose one of the following topics and write a 5-paragraph essay on that topic. Attach your personal statement to this applica-tion. Be sure to print your name on the upper margin of the statement.

1. Describe a unique event in your life that has left a lasting impression and why

2. Discuss the factors leading you to apply to one of the Lander Divisions, your academic interests, and your future plans. You may also describe other activities, achievements, or special circumstances which you would like to bring to the attention of the Com-mittee on Admissions.

I certify that all items on this application are answered correctly and completely. I understand that incomplete information, the withhold-

ing of information or incorrect information may disqualify me from admission to Touro College or may later be the basis for my with-

drawal or dismissal. I also understand that all documents submitted to the College become College property and will not be returned.

_______________________________________ _______________________________________ _________________ Applicant’s Signature Parent’s Signature Date

(Required if applicant is under 18)

Touro College treats all employees, students and applicants without unlawful consideration or discrimination as to race, creed, color, national origin, sex, disability, age, sexual orientation, marital status, genetic predisposition or citizenship status in all decisions, including but not limited to recruit ment, the administration of its educational programs and activities, hiring, compensation, training and apprenticeship, promotion, upgrading, de motion, downgrading, transfer, lay-off, suspension, expulsion and termination, and all other conditions of admission, matriculation and employment.



LANDER COLLEGE


Application Addendum to Participate in the Touro College Israel Option, 2019-2020

ADMINISTRATIVE FEE INFORMATION

$1,100 Before June 15

$1,250 June 16 - August 31

$1,450 Beginning September 1

Do not send any payments with this application. These amounts are subject to change.

1. Name: ______________________________________________________________________________________________________

Mailing Address: ______________________________________________________________________________________________

Touro ID#: T00____________ (If known) Last 4-digits of Social Security #: XXX- XX-____________

Home Phone #: ( ___ ) _____ - ________ Cell Phone #: ( ___ ) _____ - ________ E-mail address: ________________________

2. I wish to participate in the Touro College Israel Option (TCIO) during the 2018 - 2019 academic year at (if known): (Please check only one school. If your seminary or yeshiva is not listed, please contact the Office of Admissions.)

YESHIVOS SEMINARIES

o Ateres B’nos Yerushalayim o Machon Maayan o Aderes HaTorah o Reishit Yerushalayim o Bais Yaakov Seminar o Machon Raaya o Ateret Yerushalayim o Sha’alvim o B’nos Avigayil o Me’ohr Bais Yaakov o Bais Yisroel o Shaarei Mevasseret Zion o B’nos Batsheva o Mesores Rochel o Chofetz Chaim o Tiferet Yerushalayim o B’nos Chava o Michlalah o Derech Etz Chaim o Toras Chaim o B’nos Sarah o Michlelet Mevaseret o Kerem B’Yavneh o Toras Moshe o B’not Torah Institute Yerushalayim (MMY) o Mercaz Hatorah o Torat Shraga o Ba’er Miriam o Mishreshet Amit o Midrash Shmuel o Yeshiva Bircas Hatorah o Beit Chana Chabad o Midreshet Eshel o Netiv Aryeh o Yeshivat Migdal HaTorah o Beth Jacob of Jerusalem o Midreshet Moriah o Ohr Dovid o Yishrei Lev

(BJJ) o Midreshet Tehillah o Ohr Somayach-Derech o Undecided o Binas Bais Yaakov o Midreshet Torat Chessed o Ohr Yerushalayim o Chemdas Bais Yaakov o Nachlas Bais Yaakov o Darchei Binah o Neimos (P’ninim) o Hadar Bais Yaakov o Sha’alvim for Women o Keser Chaya o Tehilas Bais Yaakov o Lahav Bais Yaakov (see #14) o Tiferet Center o Machon Alte (Chaya o Tomer Devorah

Mushka Seminary) o Undecided o Machon B’nos Yehuda (BYA)

Please read each of these points very carefully as they have academic and financial implications.

3. I understand and affirm that my enrollment in TCIO is the first year of a baccalaureate degree at Touro College.

4. I understand that participation in the Touro College Israel Option is only available to Touro College students. As such, I understand that my participation in the Touro College Israel Option is contingent on my full acceptance to Touro College, meeting the require-

ments of the TCIO and submitting all documents necessary to participate in the TCIO.

5. I understand that as a TCIO participant, I am eligible to earn up to 36 college credits (24 credits will be from Touro College and an additional 12 credits will be transferable upon my continued enrollment in the College after Israel). These credits will be applicable

towards my baccalaureate degree at the Lander Divisions.

6. I understand that if I complete my enrollment contract, submit all required documents and pay the TCIO administrative fee by June 15th I will be eligible for the discounted administrative fee rate of $1,100. From June 16th until August 31st the fee will be $1,250 and

beginning September 1st the fee will be $1,450.

7. Tuition Credit: I understand that once I have completed my year in Israel, I can either a) receive a tuition credit of $550 towards my first fall semester upon my return to any of Touro’s Lander Divisions in New York or b) I will be able to register for one course for free

with Touro College in Israel during the first fall semester (additional course can be taken at the published tuition rates).



8. I understand that if I am accepted to participate in the TCIO all tuition payments will need to be remitted directly to Touro College using the Touro College Online Payment Plan. As such, payments should not be made to the Israeli Institution with the exception of non-tuition fees.

9. I understand that should I be accepted and enrolled in the TCIO I will be required to participate in all meetings and programs scheduled by Touro College. These include presentations by Touro faculty and deans geared to assist me in my academic planning.

10. I understand that should I be admitted to one of the Lander Divisions on a probationary or non-matriculated basis I will not be eligible to participate in the TCIO.

11. Tuition Refund and Withdrawal Policy: I understand that any withdrawal from the TCIO must be requested in writing to the Office of Admissions and such action will

jeopardize the awarding of credits and/or financial aid. Any withdrawal will be refunded according to the following schedule:

Semester to be withdrawn Date Withdrawal Form Received by Touro Israeli representative

Amount to be Refunded

Fall 2019 semester Prior to the start of class: During the 1st week of class During the 2nd week of class During the 3rd week of class During the 4th week of class After the 4th week of class

100% of Fall and Spring tuition 90% of Fall tuition +100% of Spring tuition 75% of Fall tuition + 100% of Spring tuition 50% of Fall tuition + 100% of Spring tuition 25% of Fall tuition + 100% of Spring tuition 0% of Fall tuition + 100% of Spring tuition

Spring 2020 semester Prior to the start of class: During the 1st week of class During the 2nd week of class During the 3rd week of class During the 4th week of class After the 4th week of class

0% of Fall tuition + 100% of Spring tuition 0% of Fall tuition + 90% of Spring tuition 0% of Fall tuition + 75% of Spring tuition 0% of Fall tuition + 50% of Spring tuition 0% of Fall tuition + 25% of Spring tuition 0% of Fall tuition + 0% of Spring tuition

The Israeli Institution is not obligated to follow the Touro College Tuition and Withdrawal Policy. As such if you withdraw you may still incur financial obligations to the Israeli Institution.

12. Administrative Fee Withdrawal Policy: The TCIO administrative fee includes a non-refundable $50 deposit. Any withdrawals before the first day of the fall semester will be

refunded the full amount paid, minus the $50. There is no administrative fee refund for any withdrawals once the fall semester has begun.

13. I understand that failure to pay the total amount due to the school either as payments or through Financial Aid by the end of the 2018-2019 academic year will result in:

• not having access to my grades • not being able to receive a transcript from Touro College • not being allowed to register for classes for the upcoming semester or any semester at any Touro College campus until the

balance is paid in full

• my student account may be forwarded to the collections department of Touro College for further action

14. For Lahav Bais Yaakov students only: I understand that since Lahav Bais Yaakov is a one-semester program, I am eligible to earn up to 12 college credits which will be applicable toward my Lander College Bachelor’s Degree. Six additional credits may be awarded

as transfer credits upon my continued matriculation with the Lander Colleges after my return from Israel. Additionally, the admin-

istrative fee for the one semester will be $550 if all paperwork and payments are finalized by June 15th. And, I will receive a $200

tuition credit upon continued matriculation with the Lander Colleges after the student’s return from Israel. From June 16th until

August 31st the administrative fee will be $625 and beginning September 1st the fee will be $725.

15. I understand that should I choose to remain in Israel during “shana bet” I will be expected to register for at least one course with Touro College Israel (TCI), free of charge. This course can be taken online or at the Touro Israel Center, in the Givat Shaul section of Jeru-

salem. (Please refer to #7 for details about the tuition credit.)

16. I understand that in order to be considered for the Enhanced Tuition Award (ETA) for the 2019-20 academic year, I must meet several eligibility criteria as required by the state of New York. I must be a resident of New York and must earn a minimum of 30 credits during

the Fall 2019, Spring 2020 and Summer 2020 semesters that are applicable to my degree, among other eligibility criteria. For expanded

information about the ETA please visit www.hesc.ny.gov/pay-for-college/financial-aid/types-of-financial-aid/nys-grants-scholarships-

awards/enhanced-tuition-awards/enhanced-tuition-awards-faqs.html or speak with the Touro College Office of Financial Aid.

By signing this document I acknowledge that I have read all of the items above and agree.

Date: _____ /_____ /_____ Student Signature: _________________________________________________________________________

Date: _____ /_____ /_____ Parent or Guardian Signature: _______________________________________________________________

***This Form MUST be signed by both Student and Parent***

www.hesc.ny.gov/pay-for-college/financial-aid/types-of-financial-aid/nys-grants-scholarships



LANDER COLLEGE


Immunization Form Students born on or after January 1, 1957 must provide a certificate of immunity (or immunization) to measles, mumps and rubella, such as: a laboratory copy of the results of MMR (positive) serology tests, or an official health record documenting MMR immunity OR complete this form.

PERSONAL INFORMATION (To be completed by the student)

Name First Last Middle (complete)

/ Da

/te of Birth

Social Security Number (optional) Touro I.D. (if known) Prog/Ext

Mailing Address Street Number Apartment City State ZIP Code

Phone ( ) Email

To be completed and signed by the health practitioner only.

VACCINATION RECORD*

Measles Mumps Rubella or Combined MMR

Vaccination Date Dose 1 / / / / / / / /

Dose 2 / / / /

Disease history / / / / / / / / (Date of Onset)

Serology Date and Results / / / / / / / / (Indicate + or –) Include copy of lab report

Scheduled Date for Dose 2 / / / /

* Vaccination Guidelines: MMR–First dose administered after the first birthday and after 1/1/1972. Measles–First Live Virus Dose administered after first birthday and Second Live Virus Dose administered at least 28 days after the first dose. Mumps and Rubella–Live Virus Dose administered after first birthday and after 1/1/1969. Revaccination is required for MMR, measles, mumps and rubella if vaccinated prior to the stated dates.

MEDICAL EXEMPTION FROM IMMUNIZATION

I certify that it is medically contraindicated for the above named person to be vaccinated for the disease(s) indicated below because of the stated medical reasons. (Reason and expiration date–or state if permanent–required for each disease.)

Check disease(s): Indicate medical reason(s) for contraindication Valid through date

o Measles: / /

o Mumps: / /

o Rubella: / /

@ / / Health Practitioner’s Signature Name /Title Date

( ) Clinic Address Phone


/ / Student’s Signature (Parent/Guardian if student is under 18) Date

/ / Print Student’s Name Touro ID (if known) Student’s Date of Birth

( ) Student’s E-mail Address Student’s Phone Number



LANDER COLLEGE


Meningitis Response Form Students must provide a Certificate of Immunization for Meningococcal meningitis disease OR complete this form.

What is meningococcal disease? Meningo-

coccal disease is a severe bacterial infec-

tion of the bloodstream or meninges (a thin

lining covering the brain and spinal cord.)

Who gets meningococcal disease? Any-

one can get meningococcal disease, but

it is more common in infants and children.

For some college students, such as fresh-

men living in dormitories, there is an in-

creased risk of meningococcal disease.

Between 100 and 125 cases of meningo-

coccal disease occur on college campuses

every year in the United States; between

5 and 15 college students die each year

as result of infection. Currently, no data

is available regarding whether children

at overnight camps or residential schools

are at the same increased risk for disease.

However, these children can be in settings

similar to college freshmen living in dor-

mitories. Other persons at increased risk

include household contacts of a person

known to have had this disease, and peo-

ple traveling to parts of the world where

meningitis is prevalent.

CHECK ONE BOX AND SIGN BELOW.

I HAVE:

How is the germ meningococcus spread?

The meningococcus germ is spread by di-

rect close contact with nose or throat dis-

charges of an infected person. Many people

carry this particular germ in their nose and

throat without any signs of illness, while

others may develop serious symptoms.

What are the symptoms? High fever,

headache, vomiting, stiff neck and a rash

are symptoms of meningococcal disease.

Among people who develop meningococ-

cal disease, 10-15% die, in spite of treatment

with antibiotics. Of those who live, perma-

nent brain damage, hearing loss, kidney

failure, loss of arms or legs, or chronic ner-

vous system problems can occur.

How soon do the symptoms appear?

The symptoms may appear 2 to 10 days af-

ter exposure, but usually within five days.

What is the treatment for meningococcal

disease? Antibiotics, such as penicillin G

or ceftriaxone, can be used to treat people

with meningococcal disease.

Is there a vaccine to prevent meningococ-

cal meningitis? Yes, a safe and effective

vaccine is available. The vaccine is 85% to

100% effective in preventing four kinds of

bacteria (serogroups A, C, Y, W-135) that

cause about 70% of the disease in the

United States. The vaccine is safe, with

mild and infrequent side effects, such as

redness and pain at the injection site last-

ing up to 2 days. After vaccination, im-

munity develops within 7 to 10 days and

remains effective for approximately 3 to

5 years. As with any vaccine, vaccination

against meningitis may not protect 100%

of all susceptible individuals.

How do I get more information about

meningococcal disease and vaccination?

Contact your family physician or your stu-

dent health service. Additional informa-

tion is also available on the web sites of

the New York State Department of Health,

www.health.state.ny.us; the Centers for

Disease Control and Prevention, www.

cdc.gov/ncid/dbmd/diseaseinfo; and the

American College Health Association,

www.acha.org.

o had the meningococcal meningitis immunization (MenomuneTM) within the past 10 years. Date received / / (Note: If you received the meningochoccal vaccine available before February 2005, called MenomuneTM, please note this vaccine’s protection lasts for approximately 3-5 years. Revaccination with the new conjugate vaccine, called MenactraTM, should be considered within 3-5 years after receiving MenomuneTM.)

o read, or have had explained to me, the information regarding meningococcal meningitis disease. I will obtain immunization against meningococcal meningitis from my private health practitioner or when offered through Touro College.

o read, or have had explained to me, the information regarding meningococcal meningitis disease. I understand the risks of not receiving the vaccine. I have decided that I will not obtain immunization against meningococcal meningitis disease.

@

Student’s Mailing Address Number and Street Apartment # City State ZIP Code

www.acha.orghttps://cdc.gov/ncid/dbmd/diseaseinfowww.health.state.ny.usmailto:[email protected]



Checklist of Application Materials for the Applicant

Dear Student:

This form is provided as a courtesy by the Office of Admissions and should be used as a record to ensure that all applica-tion materials are provided in a complete and timely manner.

An application is not considered complete until you have provided the Office of Admissions with all of the relevant supporting materials listed below. Only complete applications will be considered for admission. It is recommended that applicants periodically check with the Office of Admissions to verify that materials have been received.

If you have any further questions or wish to check the status of your application, please contact the Office of Admissions at 718.535.9299. Thank you.

Date Sent Application Materials

____/____/____

____/____/____

____/____/____

____/____/____

____/____/____

____/____/____

____/____/____

____/____/____

____/____/____

____/____/____

____/____/____

$50.00 Non-Refundable Application Fee o(Check or money order only. Checks/ money orders should be made payable to Touro College.)

Letters of Recommendation

1. ____________________________________ o

o 2. ____________________________________

Secondary School Transcripts (9th through 12th grade) Please Note: Official Transcripts must be sent by all schools you attended regardless of the length of time you attended and regardless of whether or not you completed the attempted coursework and/ or degree.

o 1. ____________________________________

o 2. ____________________________________

TASC/GED - Certificate & Transcript of Scores (if applicant left high school prior to graduation)

Post-Secondary School Transcripts (College, Yeshiva, Seminary) Please Note: Official Transcripts must be sent by all schools you attended regardless of the length of time you attended and regardless of whether or not you completed the attempted coursework and/ or degree.

o 1.____________________________________

o 2. ____________________________________

o 3. ____________________________________

SAT/ACT Test Scores The Touro/ Lander College SAT code is 2902; ACT code is 2961. If you took the SAT or ACT, you must have your scores sent either by your high school or by SAT www.sat.collegeboard.org or ACT www.act.org directly.

o Personal Statement


Where Knowledge and Values Meet

www.touro.edu • @WeAreTouro

www.touro.edu

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