Georgia Organization for Student Success (GOSS) 2024-2025 Membership Form

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Please complete the form below to become a member. GOSS has a fixed membership year that begins and ends at the annual meeting, which is held in February or March each year. This form is for memberships during the period of February 2024 - February 2025.

Feel free to contact us at talk2goss@gmail.com with any questions or concerns.

Email *

Title

Last Name *

First Name *

Institution *

E-mail Address *

Phone Number *

Mailing Address (including city, state, & zip code) *

Primary Areas of Interest *

Administration

Equity, Access, and Inclusion

Innovative Teaching and Learning

Online Education

Retention

Student Readiness and Study Skills

Student Support Services

STEM teaching

Non-STEM teaching

Co-requisite Support

Other:

Required

Membership Type *

Annual Full-time Faculty or Staff Membership - $20

Annual Part-time Faculty or Staff Membership - $10

Annual Retired Faculty or Staff Membership - $10

Annual Graduate Student Membership - $5

Five-Year Faculty or Staff Membership - $80

Lifetime Faculty or Staff Membership - $300

Group membership for higher ed institutions/departments - $150 for up to 10 members

Group membership for higher ed institutions/departments - $225 for up to 15 members

For group memberships, please list the name and email address of the person at your institution who is overseeing the membership.

Do you require a separate invoice? *

Yes, please email me an invoice.

No, the copy I receive of my responses to this form will suffice as an invoice.

Method of payment for membership *

Institutional check (Make payable to GOSS & mail to Andrea Hendricks, Georgia State University Perimeter College Newton Campus, 239 Cedar Lane, Covington, GA 30014)

Personal check (Make payable to GOSS & mail to Andrea Hendricks, Georgia State University Perimeter College Newton Campus, 239 Cedar Lane, Covington, GA 30014)

Money order (Make payable to GOSS & mail to Andrea Hendricks, Georgia State University Perimeter College Newton Campus, 239 Cedar Lane, Covington, GA 30014)

Venmo (go to https://gossonline.org) or through the app @GeorgiaOrgStudentSuccess. Be sure to enter your name and institution in the comments.

Please share any questions, suggestions, or comments for the GOSS executive board.

A copy of your responses will be emailed to the address you provided.

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