Suffolk County Community College
Title III: Improving Academic Quality Through
Outcomes Assessment & Faculty Development
Teaching Fellows Summer Institute 2004
Application Cover Page
Submit one signed original plus eight copies to Dean Asberine Alford, Ammerman Campus,
Riverhead Building, Room 320, by February 20, 2004.
Applicant: _______________________________________________________________
Name Campus Extension
Area/Department: _________________________________________________________
Project Title: _____________________________________________________________
SIGNATURES:
_________________________________________________________________________
Applicant Date
_________________________________________________________________________
Academic Chair/Area Assistant Dean Date
_________________________________________________________________________
Dean of Faculty Date
_________________________________________________________________________
Campus Executive Dean Date
NOTE: Applicant is responsible for obtaining all signatures prior to submission of application.