AACC John E. Roueche Future Leaders Institute

Application for Acceptance


Please complete the entire application below for consideration of acceptance into the AACC John E. Roueche Future Leaders Institute. ALL FIELDS ARE REQUIRED. Upon completion of the online portion of the application you will be required to upload additional supplemental information (a resume, a self descriptive letter, at print-ready photo of at least 300dpi, and CEO nomination) before your application packet is complete. Supplemental information will be further explained in detail upon confirmation of the online form below. Please note: If you are accepted to participate in the Roueche - Future Leaders Institute, application materials will be reproduced and shared with all participants.

You will not be able to return to your document prior to submission. We recommend that you review the application in entirety and gather all of your materials prior to completing the form. Thank you.

If you experience any technical issues with the application, please contact Jennifer Tinch (aaccleadership@aacc.nche.edu, 202-728-0200 ext. 232).


Please select the program for which you are applying.


Referral to FLI Program





I. Personal
Question Text

II. Professional
Question Text


YYYY-MM-DD






Primary Responsibilities (Check All That Apply)














III. EDUCATION (List Highest Degrees First)

YYYY-MM-DD


YYYY-MM-DD


YYYY-MM-DD

IV. PROFESSIONAL HISTORY (List Most Recent Positions First)
Note: For current position please put application date as end date.

YYYY-MM-DD

YYYY-MM-DD


YYYY-MM-DD

YYYY-MM-DD


YYYY-MM-DD

YYYY-MM-DD

V. PROFESSIONAL ACTIVITY
Note: Please do not use bullets or special characters in the text boxes below. 






VI. ACTIVITIES OTHER THAN PROFESSIONAL: CIVIC, COMMUNITY, RECREATIONAL AND OTHER


VIII. CONTACT IN CASE OF EMERGENCY


IX. FEES

$1800 – for members
$2100 – for non-members

* Cancellations must be made in writing to: Jennifer Tinch, American Association of Community Colleges, One Dupont Circle, NW, Suite 410, Washington, DC 20036. If postmarked by posted deadline, fee will be returned minus $175. After January 28, 2013, no refund will be given.


Home | Site Map | ©2009 American Association of Community Colleges
 One Dupont Circle, NW | Suite 410 | Washington, DC 20036 | Ph: 202.728.0200 | Fx: 202-833-2467
www.achievingthedream.org | www.communitycollegetimes.com | www.ccleadership.org | www.pathwaystotechnology.org | plus50.aacc.nche.edu