Application to be an InterGen Community Member
Email *
Full Name *
Phone *
How old are you? *
Do you have basic technology skills, i.e., word processing, emailing, and texting? *
If you answered No above, please give us an indication of any specific challenges you feel you may face.
What draws your interest to this class? *
What about this class experience do you think makes you a good fit?
 *
What do you expect to give and gain with intergenerational connections in this class? 
 *

Attendance and participation by InterGen Community Members are key and expected components to the structure of this class. 

The class will meet on Campus in the University Club Building, Room 13

Mondays and Wednesdays from 3:35PM - 4:50PM

First Day of Class for Community Members:  Wednesday, September 4 

Last Day of Class:  Wednesday, December 11

Do you foresee any issues that may hinder you from participating in scheduled classes, i.e., work, health issues, etc.? Please Explain. (Community Members are allowed three (3) absences for the semester.)

Note: If you know you will be missing class, please let us know which dates you cannot attend. (We understand you may have previous plans/commitments that cannot be changed. We also understand "life happens" and an unexpected event may occur that requires an occasional absence.)

 *
Explain
Upon submission, a copy of your application will be emailed to the address you have provided. If you do not receive that email, please notify us at rich.stansbury@gmail.com.

We will be back in touch with next steps within 48 hours of submission. If you don’t hear back or have any questions, please contact Richard at rich.stansbury@gmail.com
A copy of your responses will be emailed to the address you provided.
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