5CLIR Forms

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)

Ongoing Program Proposal

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

Blank W9

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

5CLIR Committee Sign Up

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

Five College Learning in Retirement

Peer-Led Lifelong Learning

5CLIR Forms

MEMBERSHIP FORM

REGISTRATION FORM

PROGRAM PROPOSAL FORMS

EXPENSE REIMBURSEMENT FORMS

COMMITTEE SIGN UP FORM

SEMINAR FEEDBACK

WAIVER (AGREEMENT) TO HOLD A PROGRAM AT A PRIVATE HOME

COMMITTEE ANNUAL REPORT FORM

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MEMBERSHIP FORM

REGISTRATION FORM

PROGRAM PROPOSAL FORMS

EXPENSE REIMBURSEMENT FORMS

COMMITTEE SIGN UP FORM

SEMINAR FEEDBACK

WAIVER (AGREEMENT) TO HOLD A PROGRAM AT A PRIVATE HOME

COMMITTEE ANNUAL REPORT FORM

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