Emeriti Faculty Association Membership Form

Join the UCSF Emeriti Faculty Association to stay connected to friends and former colleagues, make new connections, and find new opportunities to learn and grow.

If you are a recently retired emeritus/a or faculty member, please consider joining our listserv by completing the form below to receive invitations to our guest speaker lunches. To support the UCSF Emeriti Faculty Association, please click here.

First Name

Last Name

Email Address

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Degree/s

Date of Retirement

Department or Affiliation at Retirement

Title at Retirement

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