The University of Toledo :

Welcome

Faculty Club

Application Form

Click here for a .pdf version of the application form (to send in by mail).

I) General Information:

Name:
Home Address:
Home Phone:
Office Address:
Office Phone:

II) Faculty Appointment:

Academic Rank:
Dept:
Title:
Administrative Rank:
Dept:
Title:
Board Trustee:
Foundation Trustee:
Retiree:

III) Contract

Full-time Faculty of UT
Part-time Faculty of UT
Volunteer Faculty of UT

Please send your annual membership dues of $25.00 to:

Brian Hickam, M.L.I.S.
Membership Chair, The Faculty Club
Carlson Library
Main Campus, University of Toledo
Toledo, OH 43606

Make check payable to The Faculty Club. Remember: First year membership for newly appointed Main Campus and HSC faculty is FREE! If you have any questions, please contact Brian Hickam, Membership Chairman at brian.hickam@utoledo.edu

Page updated: May 14, 2007

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