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Dear Student,
Pursuant to the Abraham S. Fischler College of Education (FCE) Student Grievance
Procedure, the Grievance Form is for use in filing a grievance when a satisfactory
resolution is not achieved through a formal appeal. Please note that this form and any
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Cardinal Station Newburg Center for Primary Care
215 Central Avenue, Suite 100 1941 Bishop Lane, Suite 900 215 Central Avenue, Suite 205
Louisville, KY 40208 Louisville, KY 40218 Louisville, Ky 40208
I:\FCM\Phyllis Harris\Forms\New Patient Pkg Components
UofL Department of Family & Geriatric Medicine
Dear New Patient,
Welcome to your University of Louisville Physicians Family practice! We
are offering patient-centered medical care and are enthusiastic about our
relationships with our patients. In order to better serve your needs, we are
enclosing 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 this
form about your family history. The next sheet is titled, "Authorization for the
use and/or Disclosure of Protected Health Information", and you will need to
completely fill that out for our doctors to treat you to the best of their ability; it
gives us permission to review your medical records from your previous primary
medical facilities.
Following, please completely fill out the Registration, Social Services & Consent
Form. Next, you will find our Privacy Notice, followed by an acknowledgement that
you have received and understand our Privacy Policies. Finally, the last form is the
Office Acknowledgements and Policies form. Please read carefully and sign
your 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 always
bring your picture ID, current insurance cards and your co-payment. If your
health insurance requires you to select a primary care doctor please do so prior to
your office visit. Please bring in any and all medication you take, in their
original bottles, to your appointment.
If the patient is under 18 years of age he or she must be accompanied by an
adult and will need to bring a copy of their current immunization certificate.
Please arrive 15 minutes ahead of your scheduled appointment time so that if
you have questions about these forms or we need more information, we can
address it all prior to your appointment.
We look forward to seeing you!
University of Louisville Physicians
UofL Family and Geriatric Medicine

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Dear Classmate:

Happy New Year greetings to the members of the GREAT Class of 1958! As promised, here is the latest news about our class.

60-Year Reunion

From all accounts, those who attended our 60-Year reunion in September enjoyed a great weekend of events and activities; and if you're wondering if the Reunion Committee will plan a 65-Year reunion, rest assured that they will!! Stay tuned!!

Who Am I?

One of the most inspiring aspects of the 60-Year reunion was our classmate Eric Williams' address to the class at the reunion dinner at the Doubletree by Hilton Niagara Falls. Eric shared some interesting moments of his life which are included in a memoir he is writing, detailing his varied life in three phasescoming of age in Niagara Falls, his 30-year career with the FBI, and, in retirement, continuing his lifelong passion for the theater. He, along with others attending the reunion dinner who had submitted in advance three things about themselves that their classmates might not know, exemplified the vast knowledge, experiences, and interests of our fellow classmates. Bonnie Bradt Nye prepared the attached handout, which contains the information she received for the project. If you would like to continue this reunion exercise one step further by sharing three interesting things about your life, please send them to me at numarty40@gmail.com and I'll include them in future class news updates.

To illustrate the good works of our classmates, I need to go no further than that of our own Annie Barnes McCray, who will be making a return trip to Ghana April 18-26 with a group of students and other volunteers from Western New York participating in the 2019 Global Education Project sponsored by Global Partnerships Inc. The organization was founded by a Ghanian native who is a Spanish teacher at Lockport High School and annually leads groups to a community in Ghana on projects to improve the health and welfare of its residents. The projects include providing families with water purification kits, building wells to provide clean water, and this year to build latrines. Annie participated in the 2017 project and shared her photos and experiences with the local lunch group when she returned. At our recent November and December luncheons, she brought beautiful items made in Ghana for us to purchase with all proceeds going to fund the project. The "lunch ladies" bought them u p in quick fashion.

Attached is a photo of three of the dozen or so bracelets I bought for Christmas gifts for myself and the women in my family. If you are interested in learning more about the organization, go to its website at www.GEProject.org. If you would like to make a donation, remember to include that you are a member of the Niagara Falls High School Class of 1958. The following links to a local television video and newspaper article provide information on the volunteers who participated in the 2018 project: https://www.wivb.com/news/local-news/lockport-teachers-bring-students-to-ghana-to-install-waterwell/1128962481 https://www.lockportjournal.com/news/local_news/students-make-a-difference-inghana/article_9f70eaf8-6ac4-5b82-b20a-49da439d3f41.html The local lunch group proudly supports Annie in this year's project and looks forward to her return, but first, this globe-hopping lady will be traveling with her daughter to Australia and New Zealand for an extended vacation. She is simply amazing!!

Check Presentation

The reunion committee recently donated a check in the amount of $650 to the Niagara Falls Education Foundation to fund a scholarship from the Class of 1958, which will be presented to a graduating senior in the Niagara Falls School District at the organization's annual Scholarship & Alumni Recognition Dinner in May. The donation included funds raised at the reunion from a 50/50 split raffle, several anonymous donations from classmates, and the reunion committee treasury. Attached is a photo of Marty Morgan Troia and Madlyne DiCecco Trunzo presenting the check to Bob Kazeangin and Art Jocoy from the Niagara Falls Education Foundation at our November class luncheon at the Como Restaurant.

December Class Luncheon

Click here (https://photos.app.goo.gl/ptVRUcF6RhVCTaYr6) to view photos taken at the December class luncheon held at the Parkway Prime Restaurant in the Doubletree by Hilton Niagara Falls. An enjoyable time was had by all!

In Memoriam

Lastly, it saddens me to report that the classmates noted below passed away just before and since our class reunion in September. In future news updates, I will include any additional death notices that come to my attention. A complete list of deceased classmates is available on our web site at www.nfhs1958.com. If you know of any deceased classmates that are not on the list, please notify me at numarty40@gmail.com or 716-754-7725.

Betty Maturani Scrivano (September 5, 2018)

Judy Shaffer Buzzelli (September 14, 2018)

Anthony Gabrielli (December 2018)

June Manarino Knight (December 23, 2018)

James Farrell (December 30, 2018)

Well, that's all the news for now. I look forward to hearing from you with any news you might want to share for the next news update. In the meantime, check out the website (www.nfhs1958.com) for reunion photos, class directory, and more!

NOTE: This correspondence will also be posted on our website.

Marty MorganTroia

4798 Oakridge Lane

Lewiston, NY 14092

Attachments:

Photo:

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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 of
Education (Ed.D.) in Educational Leadership, designed for current higher education professionals
who aspire to leadership positions on college or university campuses. We look forward to receiving
your 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 or
professional 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 with
your 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 ur
work as a leader at postsecondary institutions of higher education.
5. Acceptable scores on the General Test of the Graduate Record Examination (GRE) taken
within 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 spring
semester, 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 session
7. 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 last
page of this packet is a checklist of the various steps. Submit your Graduate Application and $50
application fee online. Transcripts from every college you have attended as an undergraduate and
graduate student should be submitted to Graduate Admissions in 102 Barnard Hall. In addition you
must send the following materials directly to the Ed.D. Program (attention Rouzan Kheranian) in 320
Barnard Hall:
1. Two letters of recommendation from educational leaders. Use the Reference Form (page
2 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 to
assure 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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