AACC John E. Roueche Future Leaders Institute Program Application

Please complete the entire application below for consideration of acceptance into the AACC John E. Roueche Future Leaders Institute. Applicants must be prepared to participate in the entire program if accepted.

Upon completion of the online portion of the application you will be required to upload additional supplemental information (a resume, a self descriptive letter, a print-ready photo of at least 300dpi, and CEO or Vice President 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 the facilitator and career advisors.

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. ALL FIELDS ARE REQUIRED.

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

The Future Leaders Institute takes place November 15-19, 2015, in Washington, DC.

Referral to Roueche FLI Program *

Personal Data

Professional - Current Position

Primary Responsibilities
Check All That Apply *
Estimate your retirement *

Demographic Information
Completion of this section is voluntary.
Contact in Case of Emergency

$1500 – for members
$1800 – for non-members

Please do not send payment until you are notified of your acceptance into the Institute.

* 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 October 16, 2015, no refunds will be given.

Consent to Use of Photographic Images
Registration and attendance at, or participation in, AACC meetings and other activities constitutes an agreement by the registrant to the use and distribution of the registrant or attendees’ image or voice in photographs, videotapes, electronic reproductions and audiotapes of such events and activities by AACC.

Certify Application is Complete *