LANDER COLLEGE DIVISIONS OF

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 BEIS MEDRASH L’ () LANDER COLLEGE QUEENS EVENING PROGRAM FOR MEN LANDER COLLEGE FOR WOMEN THE ANNA RUTH & MARK HASTEN SCHOOL () LANDER COLLEGE Office of Admissions • 1602 Avenue J, Room 207, , NY 11230 DIVISIONS OF TOURO COLLEGE 718.535.9299 | Fax: 718.338.6295 • [email protected]

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 Option, students can earn college credit for a year of intensive 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 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 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 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 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] LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE 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 work should be mailed to the Office of Admissions directly from the school or submitted by the applicant in a signed and sealed ¨ Application fee of $50: The application fee is non-refundable envelope. Transcripts must bear the student’s legal name, contain and can be paid by check or money order (made out to Touro the school’s seal, and indicate the student’s date of graduation, College). The application fee is waived if the student submits the if applicable. All high school and college level work - degree and application while in Israel to the Touro College office in Jerusa- non-degree - must be submitted, even if the student does not lem. intend or expect to transfer credit (Please note: Transcripts sent via fax or e-mail are not considered official). ¨ Standardized Test Scores: The Committee on Admissions strongly recommends all applicants to the Lander Divisions take ¨ Interview / English Proficiency Examination: The Committee either the Scholastic Assessment Test (SAT) or the American on Admissions may request that an applicant report for a personal College Testing Program examination (ACT). The SAT or ACT is interview with a representative of the college. They may also be mandatory for students who wish to be considered (a) for an asked to take an English proficiency examination. These items will academic scholarship, (b) an early admissions candidate or (c) be used in evaluating the applicant’s candidacy for admissions. to the Lander College for Women. Students should arrange to have their scores sent to the Office of Admissions. Touro Col- ¨ Interview / Gemara proficiency: The Committee on Admis- lege’s score report number for the SAT is 2902; for the ACT, it is sions for the Lander College for Men requires that all applicants 2961. (Please note: Self-reporting of the scores on the application have a personal interview with a representative of the college. does not replace the need for official documentation.) During this interview the student’s proficiency in Gemara will be assessed. These items will be used in evaluating the applicant’s ¨ Transcripts: Official transcripts of all high school and college 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 LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE COLLEGE DIVISIONS OF TOURO COLLEGE

LANDER DIVISIONS ADMISSIONS PROCEDURES & APPLICATION INSTRUCTIONS Guide for Completing the Application

ITEM 3: ADMISSIONS CATEGORY ITEM 7: ISRAEL OPTION. Please complete the application addendum. • Choose Freshman if you are applying for admission after completing high school, even if you have taken college-lev- ITEM 9: SOCIAL SECURITY NUMBER. A Social Security number el work while in high school. is not required for admission to the college. However, in order to • Choose Freshman / Early Admission if you are applying to eventually register for courses with Touro College, a Social Se- Lander College for admission upon completion of your ju- curity number is required. Foreign students who do not have a nior year of high school. Social Security number should leave this blank.

• Choose Transfer if you have completed high school and HIGH SCHOOL TRANSCRIPTS: The High School Transcript are now attending (or have previously attended) another Request Form should be submitted to any high school attended. college, university, yeshiva or seminary. The school should return the form along with your transcripts directly to the Office of Admissions. • Choose Visitor (Non-Matriculated) if you do not wish to pursue a degree from Lander College. If you are presently SIGNATURE: Be sure to sign your application. If you are under 18 attending another college or university you must provide a years of age, your parent or guardian must sign as well. permit letter from your school’s registrar stating that you PERSONAL STATEMENT: The Personal Statement should be have permission to take the specific course or courses. Vis- typed and submitted with the original application. Be sure to iting students must provide unofficial transcripts of the col- include the applicant’s name and date of birth on each sheet. leges they have attended, although the college reserves the right to request official transcripts. Attach additional sheets if more room is required to answer any of the questions on the application. Be sure to include the appli- ITEM 6: DIVISION OF LANDER COLLEGE. Indicate the divi- cant’s name and date of birth on each additional sheet. 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 (post-baccalaureate)

Yeshivas Ohr Hachaim, undergraduate

Yeshivas Ohr Hachaim Kollel (post-baccalaureate)

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.) LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE COLLEGE DIVISIONS OF TOURO COLLEGE

LANDER DIVISIONS ADMISSIONS PROCEDURES & APPLICATION INSTRUCTIONS Important Information for Application to the Touro College Israel Option

Please Read Carefully

Applicants who are planning to spend a year of post- ro College nor a guarantee of eligibility for the Touro high school study in Israel at one of the affiliated College Israel Option. Please refer to the Lander Division Israeli institutions through the Israel Option must apply Financial Aid brochure for additional information. separately to both the Lander Division they wish to attend NO STUDENT WILL BE CONSIDERED AN OFFICIAL and the desired Israeli institution. Applicants seeking TOURO COLLEGE ISRAEL OPTION PARTICIPANT UNTIL: admission to participate in the Touro College Israel Option should carefully follow the Lander Division application 1. The student receives an acceptance letter indicating instructions and submit the Application Addendum along that he/she has been fully accepted to the Lander with the regular Lander Division application. The Touro Division to which they applied (Probationary and College Israel Option has a firm deadline of June 15th for non-matriculated students are not eligible to partici- the academic year beginning in the fall of the same year. pate in the Israel Option);

Both the Lander Division and the Israeli institutions affil- 2. The student completes, signs, and returns the Financial iated with the Touro College Israel Option maintain com- Contract to participate in the Touro College Israel Op- pletely independent application and admissions process- tion along with the required fees and documentation. es. Acceptance to one of the Lander Divisions is not a guarantee of admission to any of the Israeli Institutions. Remember, while in Israel the student must register for To be eligible to participate in the Touro College Israel Op- courses in the fall and spring semesters. tion an applicant must be fully accepted (no credit limita- PLEASE REFER TO THE TOURO COLLEGE ISRAEL tions) to one of the Lander Divisions as well as accepted OPTION BROCHURE FOR MORE INFORMATION. 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- LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE COLLEGE DIVISIONS OF TOURO COLLEGE

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- UNDERGRADUATE DIVISION

o FRESHMAN CENTER LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE COLLEGE DIVISIONS OF TOURO COLLEGE

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: ______

"

LANDER DIVISIONS ADMISSIONS Transcript and SAT/ACT Score Request

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) LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE COLLEGE DIVISIONS OF TOURO COLLEGE

LANDER DIVISIONS ADMISSIONS Transcript and SAT/ACT Score Request

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:

LANDER DIVISIONS OF TOURO COLLEGE | OFFICE OF ADMISSIONS 1602 AVENUE J, ROOM 207 • BROOKLYN, NY 11230

Thank you for your assistance in following the guidelines above.

"

LANDER DIVISIONS ADMISSIONS Transcript and SAT/ACT Score Request

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:

LANDER DIVISIONS OF TOURO COLLEGE | OFFICE OF ADMISSIONS 1602 AVENUE J, ROOM 207 • BROOKLYN, NY 11230

Thank you for your assistance in following the guidelines above. LANDER COLLEGE For Office Use Only DIVISIONS OF TOURO COLLEGE 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) Lander College in Flatbush/ School for Women o 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.) LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE COLLEGE DIVISIONS OF TOURO COLLEGE

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. / Month Year 2. (2 12) School Phone 3.

Counselor’s name 4.

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 2nd testing ______/______o took o will take Reading _____ Math ______(Written) ______Total ______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.

From To Credit Hours Cumulative Grade Degrees Name of School Attempted to Date Average to Date (Please indicate if received Month Year Month Year or when expected) 1.

2.

3. LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE COLLEGE DIVISIONS OF TOURO COLLEGE

Extracurricular Activities

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

Participation by grade Approximate Position, Activity/Work Experience Number of Hours Office, and/ 9th 10th 11th 12th Post HS Per Week Involved or Honors

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

______Last First Last First o Living o Deceased o Living o Deceased ______Home Address (if different from applicant’s) Home Address (if different from applicant’s)

______City State Zip City State Zip

______Highest Grade or Degree Completed Highest Grade or Degree Completed

______Name of College(s) attended Name of College(s) attended

Employer: ______Employer: ______

Job Title: ______Job Title: ______

Business Address: ______Business Address: ______

______City State Zip City State Zip

Business Phone: ( ______) ______Business Phone: ( ______) ______

E-mail address: ______@______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 o Advertisement (Please indicate name of newspaper/magazine): ______

o Other ______LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE COLLEGE DIVISIONS OF TOURO COLLEGE

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 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 DIVISIONS OFFICE OF ADMISSIONS ADMINISTRATIVE FEE INFORMATION $1,100 Before June 15 Application Addendum to Participate $1,250 June 16 - August 31 in the Touro College Israel Option, $1,450 Beginning September 1 2019-2020 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.)

SEMINARIES YESHIVOS

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 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 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). LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE COLLEGE DIVISIONS OF TOURO COLLEGE

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:

Date Withdrawal Form Received Semester to be withdrawn Amount to be Refunded by Touro Israeli representative Fall 2019 semester Prior to the start of class: 100% of Fall and Spring tuition During the 1st week of class 90% of Fall tuition +100% of Spring tuition During the 2nd week of class 75% of Fall tuition + 100% of Spring tuition During the 3rd week of class 50% of Fall tuition + 100% of Spring tuition During the 4th week of class 25% of Fall tuition + 100% of Spring tuition After the 4th week of class 0% of Fall tuition + 100% of Spring tuition Spring 2020 semester Prior to the start of class: 0% of Fall tuition + 100% of Spring tuition During the 1st week of class 0% of Fall tuition + 90% of Spring tuition During the 2nd week of class 0% of Fall tuition + 75% of Spring tuition During the 3rd week of class 0% of Fall tuition + 50% of Spring tuition During the 4th week of class 0% of Fall tuition + 25% of Spring tuition After the 4th week of class 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*** LANDER COLLEGE 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 DIVISIONS OFFICE OF ADMISSIONS 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) Date 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 LANDER COLLEGE 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 DIVISIONS OFFICE OF ADMISSIONS Meningitis Response Form

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

What is meningococcal disease? Meningo- How is the germ meningococcus spread? Is there a vaccine to prevent meningococ- coccal disease is a severe bacterial infec- The meningococcus germ is spread by di- cal meningitis? Yes, a safe and effective tion of the bloodstream or meninges (a thin rect close contact with nose or throat dis- vaccine is available. The vaccine is 85% to lining covering the brain and spinal cord.) charges of an infected person. Many people 100% effective in preventing four kinds of carry this particular germ in their nose and bacteria (serogroups A, C, Y, W-135) that Who gets meningococcal disease? Any- throat without any signs of illness, while cause about 70% of the disease in the one can get meningococcal disease, but others may develop serious symptoms. United States. The vaccine is safe, with it is more common in infants and children. mild and infrequent side effects, such as For some college students, such as fresh- What are the symptoms? High fever, redness and pain at the injection site last- men living in dormitories, there is an in- headache, vomiting, stiff neck and a rash ing up to 2 days. After vaccination, im- creased risk of meningococcal disease. are symptoms of meningococcal disease. munity develops within 7 to 10 days and Between 100 and 125 cases of meningo- Among people who develop meningococ- remains effective for approximately 3 to coccal disease occur on college campuses cal disease, 10-15% die, in spite of treatment 5 years. As with any vaccine, vaccination every year in the United States; between with antibiotics. Of those who live, perma- against meningitis may not protect 100% 5 and 15 college students die each year nent brain damage, hearing loss, kidney of all susceptible individuals. as result of infection. Currently, no data failure, loss of arms or legs, or chronic ner- is available regarding whether children vous system problems can occur. How do I get more information about at overnight camps or residential schools meningococcal disease and vaccination? How soon do the symptoms appear? are at the same increased risk for disease. Contact your family physician or your stu- The symptoms may appear 2 to 10 days af- However, these children can be in settings dent health service. Additional informa- ter exposure, but usually within five days. similar to college freshmen living in dor- tion is also available on the web sites of mitories. Other persons at increased risk What is the treatment for meningococcal the New York State Department of Health, include household contacts of a person disease? Antibiotics, such as penicillin G www.health.state.ny.us; the Centers for known to have had this disease, and peo- or ceftriaxone, can be used to treat people Disease Control and Prevention, www. ple traveling to parts of the world where with meningococcal disease. cdc.gov/ncid/dbmd/diseaseinfo; and the meningitis is prevalent. American College Health Association, www.acha.org.

CHECK ONE BOX AND SIGN BELOW. I HAVE: 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 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

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

LANDER COLLEGE DIVISIONSLANDER OF TOURO COLLEGE COLLEGE DIVISIONS OF TOURO COLLEGE

LANDER DIVISIONS ADMISSIONS PROCEDURES & APPLICATION INSTRUCTIONS 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

____/____/____ o $50.00 Non-Refundable Application Fee (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 LANDER COLLEGE DIVISIONS OF TOURO COLLEGE

Where Knowledge and Values Meet

www.touro.edu • @WeAreTouro