AROHE Membership Application

ASSOCIATION OF RETIREMENT ORGANIZATIONS IN HIGHER EDUCATION

Membership Application (January 1‐December 31) 2010

INSTITUTIONAL MEMBERSHIP: A retirement organization at a college or university. Membership is ordinarily conferred to a single organization or institution. Multiple organizations at a single institution may join as one institution or as separate organizations. Each membership may include up to 3 representatives - one principal voting representative and two others. All three representatives receive regular AROHE updates and communications. (Based upon size, annual memberships are $100, $250, and $400 from January 1 through December 31).

AFFILIATE SPONSOR MEMBERSHIP: A business, nonprofit or other organization NOT affiliated with a college or university. Each membership includes up to 3 non-voting representatives. (Based upon size, annual memberships are $100, $250, and $400 from January 1 through December 31).

INDIVIDUAL MEMBERSHIP: An individual, usually from a college or university, who wishes to support and maintain contact with AROHE. (Single non-voting representative, no additional representatives, no institutional listing posted on the AROHE web site). Annual membership is $50 from January 1 through December 31.

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* 1. I would like to renew or join AROHE as:

An Institutional Member

An Affiliate Sponsor Member

An Individual Member - (Skip to #5)

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* 2. Institution Type
(Check One)

Single Institution

Multiple Institutions (system‐wide, state‐wide, etc.)

Other

Business

Nonprofit

Individual

Comment:

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* 3. Organization Type
(Check One)

Association

Center or Unit

Institutional Office

Forming Group

No Organized Group

Other (please specify)

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* 4. Organization's Population
(Check One)

Faculty

Staff

Faculty and Staff

Other (please specify)

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* 5. For AROHE Records:

Name of your Institution

Public, Private, Non-Profit, Business

Approximate Student Enrollment (if applicable)

Name of Retiree Organization Within Your Institution

Institution or Retiree Organization Website:

Comments:

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* 6. Permission is given for the AROHE site to provide a link to your website

Yes

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* 7. Membership Representative's Names and Contact Information

NAME OF PRINCIPAL VOTING MEMBER or INDIVIDUAL MEMBER

Email:

Phone:

Address:

State/Province/Zip

NAME OF SECOND REPRESENTATIVE:

Email:

Phone:

Address:

State/Province/Zip

NAME OF THIRD REPRESENTATIVE:

Email:

Phone:

Address:

State/Province/Zip

Question Title

* 8. I am submitting a membership fee for this AROHE dues classification amount:

$100 - Annual Organization Budget is: $0‐$49,999

$250 - Annual Organization Budget is: $50,000‐$99,999

$400 - Annual Organization Budget is: $100,000 or more

$ 50 - Individual Affiliate Membership

Make checks (US Dollars) payable to:
AROHE or Association of Retirement Organizations in Higher Education
Tax ID (EIN: 91‐2157286)

Send payment along with your name and your organization's name to:

AROHE
3715 McClintock Ave., Rm. 220
Los Angeles, CA 90089-0191
Email: info@arohe.org
Phone: 213-740-7121
Fax: (213) 740-7120

www.arohe.org

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* 9. Billing Information:

Billing Contact (if different from principal representative:

Email:

Phone:

Fax:

Address:

Question Title

* 10. Our organization is most interested in:

Becoming a member of the AROHE Board

Best Practices

Establishing a Retiree Organization

Funding Strategies/Budgeting/Resources

Health Promotion/Aging Information

Lifelong Learning/Emeritus College

Networking

Rehiring Retirees/Employment

Retiree Health Benefits

Retiree Organization Leadership

Retirement Education and Transition Planning

Senior Housing

Service/Volunteering

Technology Education and Improving Communication

Trends in Higher Education Retirement

Using Technology to Network

Other (please specify)

If you wish to print a copy of your application form, please do so before clicking "DONE". You will not be able to return to this page once you have exited.

Question Title

* 1. I would like to renew or join AROHE as:

Question Title

* 2. Institution Type(Check One)

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* 3. Organization Type(Check One)

Question Title

* 4. Organization's Population(Check One)

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* 5. For AROHE Records:

Question Title

* 6. Permission is given for the AROHE site to provide a link to your website

Question Title

* 7. Membership Representative's Names and Contact Information

Question Title

* 8. I am submitting a membership fee for this AROHE dues classification amount:

Question Title

* 9. Billing Information:

Question Title

* 10. Our organization is most interested in:

* 2. Institution Type
(Check One)

* 3. Organization Type
(Check One)

* 4. Organization's Population
(Check One)