Are you ready to embark on your journey in joining the Olli USCB community? Our membership application process is designed to help you get started and become an active member of our global network of business professionals. With an easy-to-navigate application form, walking through all the steps is simple, but it can also be intimidating if you are not familiar with the process. To make things easier for our applicants, we’ve prepared a comprehensive guide that outlines every step necessary to complete your Olli USCB Membership Application Form.
| Question | Answer |
|---|---|
| Form Name | Olli Uscb Membership Application Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | OLLI_Membership _Form olliuscbedu form |
Osher Lifelong Learning Institute
University of South Carolina Beaufort
M e m b e r s h i p A p p l i c at i o n
Date: ____________ |
|
______________ |
|
|
Receipt No. ____________ |
|||
|
|
|
||||||
|
|
|
|
|
|
|||
Region: |
Beaufort |
Bluffton |
Hilton Head |
Jasper County (Please check one) |
||||
Mr. |
Mrs. |
Ms. |
Dr. |
Name of Subdivision or Plantation: _________________________________________________ |
||||
Name: _____________________________________________________________ |
Phone: ________________________________ |
|||||||
Address: ___________________________________________________________ |
Cell: ___________________________________ |
|||||||
City/ State/Zip: _____________________________________________________ |
||||||||
Please complete the following:
|
|
|
Please complete the following: |
|
|||||
How did you learn about OLLI? |
|
|
|
|
|
|
|||
Friend |
Media |
Newcomer packet |
Website |
|
Presentation: Date___________ Location_______________ |
||||
Other_______________________________________________ |
|
|
|
|
|||||
How did you learn about OLLI? |
|
Yes |
|
No |
|
|
|||
Would you teach or facilitate a course? |
|
|
|
||||||
Friend |
Media |
Newcomer packet |
Website |
|
Presentation: Date___________ Location_______________ |
||||
If yes, list subject area(s):____________________________________________________________________________________ |
|||||||||
Other_______________________________________________ |
|
|
|
|
|||||
Are you willing to be a volunteer? |
Yes |
No |
|
No |
|
|
|||
Would you teach or facilitate a course? |
Yes |
|
|
|
|||||
If yes, which of the following areas are of interest to you? |
|
|
|
||||||
If yes, list subject area(s):____________________________________________________________________________________ |
|||||||||
Administrative Support |
Curriculum Planning |
Hospitality |
|
|
Newsletter |
|
|||
ClassAre youAssistantwilling to beDatavolunteer?Entry |
YesMarketingNo & Membership |
|
|
||||||
If yes, which of the following areas are of interest to you? |
|
|
|
||||||
Optional Information (for statistical reporting only) |
Newsletter |
|
|||||||
Administrative Support |
Curriculum Planning |
Hospitality |
|
|
|
||||
Age Range: |
|
|
Data Entry |
|
|
|
Ethnic Background: |
|
|
Class Assistant |
|
Marketing & Membership |
|
|
|||||
40 - 50 |
|
71 - 80 |
Male |
|
|
|
African American |
Caucasian |
|
51 - 60 |
|
81 - 90 |
Female |
|
|
American Indian |
Hispanic |
||
61 - 70 |
|
91 + |
|
|
|
|
Asian |
|
Other __________________ |
Would you consider Osher Lifelong Learning Institute (OLLI) as one of your charities?
By South Carolina State law, lifelong learning programs must be
Your gift will help in building an even better OLLI program.
Gift (tax deductible) $____________________
Membership Fee* |
$35/year |
*Membership is open throughout the year and is renewed annually. Membership allows you to register for courses for a small fee (see current Curriculum Guide), receive all OLLI communications, and to be eligible for USCB/OLLI privileges such as library, cyber café, & special events.
Accepted payment methods: cash, checks (made payable to USCB/OLLI) or credit card (Visa, MasterCard & Discover)
If paying by Credit Card ill out below:
Name as appears on card (Please Print) ___________________________________________________Visa MasterCard Discover
Card Number _____________________________________________________________________ Expiration Date: ____/____
|
(mo / yy) |
Signature _________________________________________________________ |
Amount to charge card $___________________ |
Mail payments to: USCB/OLLI, 1 University Blvd., Bluffton, SC 29909
Credit Card payments may be faxed to:
www.uscb.edu
Revised 11/09