Department Chair Leadership Institute Application

Use this form to apply to AASCU’s Department Chair Leadership Institute. A full submission requires candidates to complete this form, and a nominator to endorse your candidacy (via a separate endorsement form) by October 10, 2023. You will receive a confirmation email once your application is complete (this may take 2-3 business days after submitting application and endorsement).

Please note that you must complete this form in one sitting. You may wish to prepare your responses in a word document and then paste them into the appropriate fields.

Please contact with questions.

"*" indicates required fields

Full Name*
No abbreviations please.
How long have you served as a Department Chair?*
This information will be used to tailor the program and has no influence on your acceptance.
PDF format accepted.
Accepted file types: pdf, Max. file size: 20 MB.
Please select the session for which you are available.*
If you do not have a preference, select “January OR August.” AASCU will use your selection to build diverse cohorts. Your preference will not influence your admission to the program.

The 2024 DCLI program will be a blended experience, with in-person and virtual programming. In-person programming will not be livestreamed or otherwise recorded. 100% attendance and participation is expected.

  • In-person gathering in Washington, DC: January 10-11, 2024 OR August 14-15, 2024
  • Three virtual interactive webinars once a month to provide additional content and networking opportunities following the in-person intensive.
What is your race? (Please check all that apply)*
Are you Hispanic or Latinx/a/o?*
What is your gender?*
Do you identify as transgender?*
What is your sexual orientation?*