Registration


I would like to:
join renew my membership in the Staff Association.

Status:
Full-Time Part-Time

E-mail:

@hartford.edu

     
Name:
Department:
Building:

Room:

Phone:
Bldg Rep Name:

Membership is $10. Please make a copy of this form and send it with your check (made out to University of Hartford) to your
Building Representative. If your building has no representative, please sent registration form and check to Bonny Stoecklin, Membership Director, Career Services, GSU 309. Checks may be made out to:
"Staff Association" or "University of Hartford".