בס''ד Revision date: 06092013 minutes Times in_____________out________________2nd in_____________out______________+ 5 minutes processing= MJI STUDY ABROAD (SA) APPLICANT HOST SCHOOL FIRST FINAL REVIEW U U Name of Applicant Host:_____________________________________________ New □ Renewal* □ Review page: 1 of * Date previous contract signed: ___/___/____ 1. Are all provided materials in required English or with attached and authenticated English translations? □ Yes □ NO □ Name of independent translating agency/person provided □ original signature(s) 2. Do provided materials indicate Host familiarity with Tech Guides, Catalog & Brochure? □ Yes □ NO 3. Was applicant visited by C. Greenberg? □ Yes □ NO. Did he approve this applicant for MJI SA? □ Yes □ NO 4. Is complete contact information provided? (See over □ ) □ Name of contact person □complete school name □ street address and □ mailing address, if different Phone numbers including: □ administration □ emergency numbers for parents □ email addresses 5. Current catalog and other required information provided: Catalog; [ □ printed or □ online or □ both] (See over □ ) □ School Description □ Annual School Calendar □ Admissions requirements □ Student Orientation □ Academic Programs Description; □ Student Counseling; Available educational: □ Resources and □ Facilities; Safety and Security of: □ human and □ student academic records; □ Medical Insurance □ Tuition described □ Housing Facilities and □ fees (□ as part of tuition) □ Building Code approval U U □ Very brief descriptions of □some/ □ all these catalog items appear to be prepared solely for MJI. □ Accredited for Post-secondary education by Dept./Ministry of Education or Council/Commission of Higher ED. Or: □ Amuta only*, □ Proof of Ed Ministry post secondary payments to school and/or faculty, or: □ Certificate or □ License to operate □ Other, describe: *Amuta = non-profit license, or other ministry license, therefore only 1 yr. (up to 25% credits only) □ (See over □ ) 6. *A complete daily schedule of MJI equivalent Study Abroad classes to be taught with: □ named MJI approved instructors, □ course titles, □ day(s) □ time(s) □ equivalency with specific MJI courses listed and offered during the: □ upcoming academic year, or □ next 2 academic years if applying for first & second year abroad program (See over □ ) U U U U □ Course descriptions & □ number of credits awarded for each proposed MJI equivalent SA programs & courses* □ ALL or only □ Gen Ed □ CIS □ BIS □ AAS □ JS □ Cert. authorized for MJI students (See over □ ) check approved and strike not permitted U U U U S U S □ Sufficient equiv courses for 2-yrs; Sufficient equiv courses for only 1 year □ 1 semester □; insufficient # of courses □ 6a □ Basis for determining amount of credit awarded for each proposed MJI equivalent SA Course U (See over □ ) U 7. Listing of Host’s teaching faculty members assigned to MJI equivalent courses and credentialed by MJI, with their educational (See over □ ) and experiential history, including: □ schools attended □ degrees awarded □ dates degrees obtained and □ English resumes with all relevant experience. □ original signed/sealed transcripts provided for each faculty member □ and/or ordination addenda added U U U U (See Faculty Add Form on page 3 for details □ ) 8. Any other materials or documents enhancing application as SA host school: □ previously contracted school with good □ compliance with MJI requirements; □ internationally recognized post-secondary Judaic Studies program/yeshiva/seminary □ School brochures and other PR □ Admissions Application forms, various □ recreational facilities on campus; School has: □ computer lab □ internet access / / , Subsequent reviews: Date of 1st review: Prepare agreement for signature? □ Yes (Agreement start date: reviewer initials:________ ) □ Not Yet □ Applicant rejected for numerous failures **Other notes: Please return checklist when resubmitting materials or archive with Accept or Reject folders. P P end date: □ Shana Bet explicitly prohibited, up to 25% load only!!! U □ SEE OVER בס''ד Revision date: 06092013 minutes Times in_____________out________________2nd in_____________out______________+ 5 minutes processing= U ITEM NUMBER ____: ITEM NUMBER ____: OTHER NOTES: (Notes should be initialed by their authors) Review page: 2 of 4 *______________________ □ Printed name & Signature needed *______________________ □ Printed name & Signature ITEM NUMBER ____: Needed *______________________ □ Printed name & Signature ITEM NUMBER ____: Needed *______________________ □ Printed name & Signature Needed *Where checked, assignee must print and sign name signifying that you have read, understood and will follow-up on any required tasks or matters בס''ד Revision date: 06092013 minutes Times in_____________out________________2nd in_____________out______________+ 5 minutes processing= Review page: 3 of 4 MJI STUDY ABROAD (SA) HOST SCHOOL FACULTY ADD FORM (ver 3.0) (Item 6 of page 1) Name of Host:_____________________________________________________________ Date of this update:___________ Faculty name Documents received (list schools/degrees via original transcripts or confirmed) 1. 2. 3. 4. 5. 6. 7. 8. Fac# 1. 2. 3. 4. 5. 6. 7. 8. Permitted to teach □ ALL or only □ ALL or only □ ALL or only □ ALL or only □ ALL or only □ ALL or only □ ALL or only □ ALL or only U U U U U U U U U U U U U U U U Missing documents or other NOTES Date MJI* approved AICE or NACES required? □ initial data sheet/resume □ BA(S)/Ordain □multiple ordain □MA □PhD □ Yes □ Prof Dev Plan; □Transcripts from: □ NA □See below □initial data sheet/resume □ BA(S)/Ordain □multiple ordain □MA □PhD □ Yes □ Prof Dev Plan; □Transcripts from: □ NA □See below □initial data sheet/resume □ BA(S)/Ordain □multiple ordain □MA □PhD □ Yes □ Prof Dev Plan; □Transcripts from: □ NA □See below □initial data sheet/resume □ BA(S)/Ordain □multiple ordain □MA □PhD □ Yes □ Prof Dev Plan; □Transcripts from: □ NA □See below □ initial data sheet/resume □ BA(S)/Ordain □multiple ordain □MA □PhD □ Yes □ Prof Dev Plan; □Transcripts from: □ NA □See below □initial data sheet/resume □ BA(S)/Ordain □multiple ordain □MA □PhD □ Yes □ Prof Dev Plan; □Transcripts from: □ NA □See below □initial data sheet/resume □ BA(S)/Ordain □multiple ordain □MA □PhD □ Yes □ Prof Dev Plan; □Transcripts from: □ NA □See below □initial data sheet/resume □ BA(S)/Ordain □multiple ordain □MA □PhD □ Yes □ Prof Dev Plan; □Transcripts from: □ NA □See below MJI equivalent courses as identified check approved and strike not permitted □ Gen Ed □ Gen Ed □ Gen Ed □ Gen Ed □ Gen Ed □ Gen Ed □ Gen Ed □ Gen Ed S □ CIS □ CIS □ CIS □ CIS □ CIS □ CIS □ CIS □ CIS □ BIS □ BIS □ BIS □ BIS □ BIS □ BIS □ BIS □ BIS □ AAS □ AAS □ AAS □ AAS □ AAS □ AAS □ AAS □ AAS □ JS □ JS □ JS □ JS □ JS □ JS □ JS □ JS □ Cert. □ Cert. □ Cert. □ Cert. □ Cert. □ Cert. □ Cert. □ Cert. U U U U U U U U U U U U U U U approval initials** Gen Ed OK subj. S authorized for MJI students authorized for MJI students authorized for MJI students authorized for MJI students authorized for MJI students authorized for MJI students authorized for MJI students authorized for MJI students U MJI Reps’s *Full responsibility for insuring that only credentialed faculty teach MJI students only MJI equivalent courses rests with SA Mgt. U U U U U U U U U U **Return entire Host School binder to Academic Admin whenever new faculty credentialed for equivalent courses. U U Additional review notes: Materials insufficient/missing: □ Ordination memo; □ No credentialed faculty; □ see page 2 notes for detail □ One year program only; □ Countersigned by (host) _____________________ dated:____________ #1: Incomplete or missing: □ Data Sheet; □ Orig transcript; □ weak missing dev plan & □ no documentation; □ Other (see above note) #2: Incomplete or missing: □ Data Sheet; □ Orig transcript; □ weak missing dev plan & □ no documentation; □ Other (see above note) #3: Incomplete or missing: □ Data Sheet; □ Orig transcript; □ weak missing dev plan & □ no documentation; □ Other (see above note) #4: Incomplete or missing: □ Data Sheet; □ Orig transcript; □ weak missing dev plan & □ no documentation; □ Other (see above note) #5: Incomplete or missing: □ Data Sheet; □ Orig transcript; □ weak missing dev plan & □ no documentation; □ Other (see above note) #6: Incomplete or missing: □ Data Sheet; □ Orig transcript; □ weak missing dev plan & □ no documentation; □ Other (see above note) #7: Incomplete or missing: □ Data Sheet; □ Orig transcript; □ weak missing dev plan & □ no documentation; □ Other (see above note) #8: Incomplete or missing: □ Data Sheet; □ Orig transcript; □ weak missing dev plan & □ no documentation; □ Other (see above note) Note: Status: Binder returned to: □ Esther; □ approved □ not approved; □ original host signature needed; Contracts sent to Rabbi Shemtov □ בס''ד Revision date: 06092013 minutes Times in_____________out________________2nd in_____________out______________+ 5 minutes processing= MJI STUDY ABROAD (SA) APPLICANT HOST SCHOOL U U SUBSEQUENT FINAL REVIEW: Date __________________ Follows review dated: ______________ Name of Applicant Host:_________________________________________________ Review page: Page 4 of 4 1. Are all provided materials in required English or with attached and authenticated English translations? □ Yes □ NO □ Name of independent translating agency/person provided □ original signature(s) 2. Do provided materials indicate Host familiarity with Tech Guides, Catalog & Brochure? □ Yes □ NO 3. Was applicant visited by C. Greenberg? □ Yes □ NO. Did he approve this applicant for MJI SA? □ Yes □ NO 4. Is complete contact information provided? (See over □ ) □ Name of contact person □complete school name □ street address and □ mailing address, if different Phone numbers including: □ administration □ emergency numbers for parents □ email addresses 5. Current catalog and other required information provided: Catalog; [ □ printed or □ online or □ both] (See over □ ) □ School Description □ Annual School Calendar □ Admissions requirements □ Student Orientation □ Academic Programs Description; □ Student Counseling; Available educational: □ Resources and □ Facilities; Safety and Security of: □ human and □ student academic records; □ Medical Insurance □ Tuition described □ Housing Facilities and □ fees (□ as part of tuition) □ Building Code approval U U □ Very brief descriptions of □some/ □ all these catalog items appear to be prepared solely for MJI. □ Accredited for Post-secondary education by Dept./Ministry of Education or Council/Commission of Higher ED. Or: □ Amuta only*, □ Proof of Ed Ministry post secondary payments to school and/or faculty, or: □ Certificate or □ License to operate □ Other, describe: *Amuta = non-profit license, or other ministry license, therefore only 1 yr. (25% credits only) □ 6. *A complete daily schedule of MJI equivalent Study Abroad classes to be taught with: □ named MJI approved instructors, □ U U U course titles, □ day(s) □ time(s) □ equivalency with specific MJI courses listed and offered during the: □ upcoming academic year, or □ next 2 academic years if applying for first & second year abroad program U (See over □ ) □ Course descriptions & □ number of credits awarded for each proposed MJI equivalent SA programs & courses* □ ALL or only □ Gen Ed □ CIS □ BIS □ AAS □ JS □ Cert. authorized for MJI students (See over □ ) check approved and strike not permitted U U U U S U S □ Sufficient equiv courses for 2-yrs; Sufficient equiv courses for only 1 year □ 1 semester □; insufficient # of courses □ 6a □ Basis for determining amount of credit awarded for each proposed MJI equivalent SA Course U U (See over □ ) 7. Listing of Host’s teaching faculty members assigned to MJI equivalent courses and credentialed by MJI, with their educational (See over □ ) and experiential history, including: □ schools attended □ degrees awarded □ dates degrees obtained and □ English resumes with all relevant experience. □ original signed/sealed transcripts provided for each faculty member □ and/or ordination addenda added U U U U (See Faculty Add Form on page 3 for details □ ) 8. Any other materials or documents enhancing application as SA host school: □ previously contracted school with good □ compliance with MJI requirements; □ internationally recognized post-secondary Judaic Studies program/yeshiva/seminary □ School brochures and other PR □ Admissions Application forms, various □ recreational facilities on campus; School has: □ computer lab □ internet access