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Dear Student,Pursuant to the Abraham S. Fischler College of Education (FCE) Student GrievanceProcedure, the Grievance Form is for use in filing a grievance when a satisfactoryresolution is not achieved through a formal appeal. Please note that this form and anysupporting documentation must be properly completed, received, and on file in theOffice of Student Judicial Affairs (OSJA) within fifteen (15) days following receipt ofcorrespondence disclosing the appeal committee's decision, otherwise, the grievancewill no longer be eligible for review. Students are encouraged to submit the GrievanceForm, and any supporting documentation, well in advance of the fifteen (15) daydeadline for submission.Should you have any questions or need assistance with the completion and/orsubmission of a grievance, please contact OSJA at 8533165332 (toll free at 0360168981, ext. 53543)Sincerely,Office of Student Judicial AffairsAbraham S. Fischler College of Education
Cardinal Station Newburg Center for Primary Care215 Central Avenue, Suite 100 1941 Bishop Lane, Suite 900 215 Central Avenue, Suite 205Louisville, KY 40208 Louisville, KY 40218 Louisville, Ky 40208I:\FCM\Phyllis Harris\Forms\New Patient Pkg ComponentsUofL Department of Family & Geriatric MedicineDear New Patient,Welcome to your University of Louisville Physicians Family practice! Weare offering patient-centered medical care and are enthusiastic about ourrelationships with our patients. In order to better serve your needs, we areenclosing several forms and ask that you completely fill each form out.The first sheet will help us learn more about you; please completely fill out thisform about your family history. The next sheet is titled, "Authorization for theuse and/or Disclosure of Protected Health Information", and you will need tocompletely fill that out for our doctors to treat you to the best of their ability; itgives us permission to review your medical records from your previous primarymedical facilities.Following, please completely fill out the Registration, Social Services & ConsentForm. Next, you will find our Privacy Notice, followed by an acknowledgement thatyou have received and understand our Privacy Policies. Finally, the last form is theOffice Acknowledgements and Policies form. Please read carefully and signyour name at the bottom of the letter.Please make sure to bring all of these forms with you to your first office visit.Do not mail them back to the office. Also, please remember to alwaysbring your picture ID, current insurance cards and your co-payment. If yourhealth insurance requires you to select a primary care doctor please do so prior toyour office visit. Please bring in any and all medication you take, in theiroriginal bottles, to your appointment.If the patient is under 18 years of age he or she must be accompanied by anadult and will need to bring a copy of their current immunization certificate.Please arrive 15 minutes ahead of your scheduled appointment time so that ifyou have questions about these forms or we need more information, we canaddress it all prior to your appointment.We look forward to seeing you!University of Louisville PhysiciansUofL Family and Geriatric Medicine
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Dear Prospective Ed.D., Higher Education Strand Applicant:We are very pleased that you are interested in the Higher Education Strand of CCSU's Doctor ofEducation (Ed.D.) in Educational Leadership, designed for current higher education professionalswho aspire to leadership positions on college or university campuses. We look forward to receivingyour application.As you complete your application, keep in mind the following admission criteria:1. Master's degree from an accredited institution of higher education in a discipline orprofessional field that is relevant to the Ed.D. in Educational Leadership.2. A 3.00 or higher cumulative average (GPA) in all graduate coursework.3. Two or more letters of reference from leaders in postsecondary education familiar withyour work. Ask your references to use the form on the next page.4. Résumé that illustrates important work-related experiences with an emphasis on yo urwork as a leader at postsecondary institutions of higher education.5. Acceptable scores on the General Test of the Graduate Record Examination (GRE) takenwithin five years of your application.6. A personal statement covering six important topics:• Career goals• Intended area of individual specialization• Reasons for pursuing a doctorate• Commitment to residency requirements (one three-day weekend in the first springsemester, one full week each of the first, second, and third summer sessions)• Commitment to enrolling in two cohort courses each spring and fall semester• Commitment to summer enrollment during each 8-week summer session7. If selected as a finalist, a satisfactory interview with the admissions committee.We accept new students in alternate years only. Applications are due by October 1, 2017.Admission standards are rigorous, and not everyone who meets our standards wil l be accepted.Please note that the admission process calls for submission of materials to two locations. The lastpage of this packet is a checklist of the various steps. Submit your Graduate Application and $50application fee online. Transcripts from every college you have attended as an undergraduate andgraduate student should be submitted to Graduate Admissions in 102 Barnard Hall. In addition youmust send the following materials directly to the Ed.D. Program (attention Rouzan Kheranian) in 320Barnard Hall:1. Two letters of recommendation from educational leaders. Use the Reference Form (page2 of this packet).2. Your personal statement attached to the form on page 3 of this packet.3. Your résumé.4. Your GRE scores. When requesting that scores be sent, use GRE reporting code 3143 toassure that the Ed.D. office receives your scores.Cordially,Peter F. Troiano, Ph.D.Ed.D. Program Direct or, Higher Education Strand
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