ࡱ> a .jbjb11 &[[hhhhhhh&&&8''tH2@) 2(2222:*9Lv<~GGGGGGG,IRKLzGh>22>>G?hh22H???>h2h2~G?|$hhhh>~G??hh?4) @~n& has been approved by my office and this college. The Application will be retained by this department and the attached Checklist verifies that the relevant information has been thoroughly reviewed by me. The college is responsible for retaining both the Fellowship Leave Application and this Checklist. If you have questions about completing this form, please contact Jerry Rothman at (212) 794-5626. If unable to send the Checklist electronically, you may print the form, type the appropriate data and sent it to: The Office of Faculty and Staff Relations, The City University of New York, 535 East 80th Street, New York, NY 10021, attn: Jerry Rothman.     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