RLI Application

RLI Application Checklist*

- RLI Participant Application
- Resume/CV
- Application Fee of $150

*Only complete applications will be reviewed by the selection committee. The application deadline is April 1. RLI will be held virtually June 14-15, 2022.

Contact Information

Personal Mailing Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Business Phone Number (Include Area Code)
Mobile Phone (Include Area Code) *
Work Email *
Alternative Email *

About Your Academic Career

Title or Academic Rank:
# of Years in Current Position
# of Years in Higher Education:
Institution/Organization:
Department/Unit/Division/Program:
Institution Mailing Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
How did you hear about the Institute (if referred by a LMI Alumnus, please provide name)?
Are you a current member of AABHE?
YesNo
If yes, what year did you join AABHE?

Applicant Questions

Instructions Please answer each of the questions below. Maximum response length: 500 words per question.
In your own words, describe the future of higher education and what will be your contribution to academia. *
Maximum response length: 500 words.
What are the top three (3) lessons you have learned thus far in your journey as a higher education professional? *
Maximum response length: 500 words.
In 250 words or less, what are your top three strengths and accomplishments? *
Maximum response length: 250 words.
What areas are you seeking additional development that you hope to gain as a result of your participation in RLI?
Maximum response length: 250 words.

Upload CV/Resumé

Instructions
File Upload *Only PDF files accepted

Verification

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Leadership and Mentoring Institute

"Preparing You for the Next Phase of Academic Leadership"

RLI Application

RLI Application Checklist*

Demographic Information

Contact Information

About Your Academic Career

Applicant Questions

Upload CV/Resumé

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