MEMBERSHIP FORM
If you prefer to pay by check, please complete the above form and then, when you get to the bottom, right-click (ctrl-P) to print the completed form to mail with your check, payable to Five Colleges, Inc., to:
Five College Learning in Retirement
P.O. Box 105
North Hatfield, MA 01066
DONATE to the Membership Assistance Fund
REGISTRATION FORM
ONLINE Spring 2023 Seminar Registration Form
PROGRAM PROPOSAL FORMS
Semester Seminar or Workshop
Pre-proposal to initiate a seminar or workshop proposal
(Not required! Use this form only if you would like help in developing a full proposal. Pre-proposals are due by the end of February for a Fall seminar or workshop, and by the end of September for Spring.)
Online PRE-proposal for a Seminar or Workshop
Print a PRE-proposal Form for a Seminar or Workshop
Proposal for Fall or Spring seminar or workshop
Please read the proposal preparation guidelines.
Online proposal for a 5CLIR Seminar or Workshop
Print a Proposal Form for a Seminar or Workshop
Short Summer Seminar or Workshop
Online Proposal for a summer seminar or workshop
Print a proposal form for a Short Summer Seminar or Workshop
Short Intersession Program (coming soon)
Summer Program Proposal
Winter Program Proposal
Ongoing Program (discussion or interest group)
Special Project or Event Proposal
Online Special Project or Event Proposal Form
Print a Special Project or Event Proposal Form
EXPENSE REIMBURSEMENT FORMS
ZOOM HOSTING EXPENSE REIMBURSEMENT FORM
General Expense Reimbursement Form
Note that all payees must have a W-9 form on file in order to be issued payment.
W-9s should not be emailed.
Fax to Five Colleges: 413-542-4029 or mail to
Yvette Morneau
Five Colleges, Inc.
97 Spring Street
Amherst, MA 01002
COMMITTEE SIGN UP FORM
SEMINAR FEEDBACK
Seminar Evaluation Form (online) (PDF)
WAIVER (AGREEMENT) TO HOLD A PROGRAM AT A PRIVATE HOME
Members hosting a program or event at their home must complete the agreement form below.
2018.4.23 5CLIR Home Events Policy
5CLIR Use of Member’s Home Agreement
COMMITTEE ANNUAL REPORT FORM
Annual Report Template for Committee Chairs
© 2023 Five College Learning in Retirement
P.O. Box 105
202 Plain Road
North Hatfield, MA 01066
(413) 200-9816