5CLIR Forms

PLEASE USE ONLINE FORMS WHILE THE OFFICE IS OPERATING REMOTELY.
ALL USPS MAIL WILL BE FORWARDED TO FIVE COLLEGES, AND MAY BE DELAYED.

MEMBERSHIP FORM

ONLINE Membership Form
Print a 2021-2022 Membership Form

PROGRAM PROPOSAL FORMS

Semester Seminar or Workshop

Pre-Proposal to initiate a seminar or workshop proposal

(Not required! Use this form if you would like help in developing a full proposal.)

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

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

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© 2016 Five College Learning in Retirement
Smith College
18 Henshaw Ave., C2
Northampton, MA 01063
(413) 585-3756

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