ALP MEMBERSHIP REGISTRATION FORM
SPRING 2012

An Adult Learning Program (ALP) membership entitles you to participate in all seminars and single sessions.  Choose the membership most suited to your needs from the options listed below.

PLEASE PRINT THIS PAGE,  FILL OUT AND MAIL WITH YOUR CHECK PAYABLE TO UCONN/ALP TO:

                                                    ALP, University of Connecticut
                                                                    85 Lawler Road    
                                                           West Hartford, CT. 06117

For additional information call the ALP office: ( 860) 570-9079  or select Contact Us and send an e-mail.

Name__________________________________________________Phone_________

Street__________________________________________________Apt.__________

Town_______________________________State_______________Zip___________

Email Address___________________________________________

 Annual membership includes Fall and Spring Terms, so if you paid for an annual membership this past fall, your membership is still active.

Check here if you are a new member  _____

SEMI-ANNUAL MEMBERSHIP (Spring):  __ $55

SEABURY SEMI-ANNUAL MEMBERSHIP (Spring):  __ $45

(Reduced in appreciation of Seabury's providing space to ALP)

Donation to assist ALP in programming $________
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          How will YOU contribute?

ALP is a volunteer organization with each of us contributing our share. Please let us know which committee or activity you'd consider working on or learning more about.

_____ Curriculum Committee: Plans all seminars and other events.

_____ Membership Committee: Integrates new members into ALP; nurtures leadership among members, including nominating board members; plans and staffs membership meetings in fall and spring.

_____ Communication Committee: Reaches out to potential new ALP members though news publicity, Public Access TV, libraries, speaking engagements, website, and publications; publishes the ALP-Horn.

_____Presentations: Presents a seminar or single session, or puts us in touch with a possible presenter

Thanks for your response!

  ALP Spring 2012 Registration

        
Name: ____________________________________(Please Print)

SELECTIONS - Please number the seminar courses you wish to take in order of preference.  If a seminar is oversubscribed, a wait-list will be established and you will be notified if a place becomes available. Those on waiting lists will be given priority for their second choice.  If you find you cannot participate in a seminar please inform the ALP office. Keep a record of the courses chosen.  Thank you.