ISU Retirees Information Form

The information on this form is for:

Name

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code

Home Phone

Cell Phone

Date of Retirement

Department

Faculty, Staff or Merit:

Position Title

Spouse or Partner's Name:

First Last

Newsletter Receipt:

I would like to….(check all that apply):

Learn more about serving on the ISU Retirees Board of Directors – you can live anywhere and join the meetings online with Zoom.

Add my name to the Osher Lifelong Learning Institute at Iowa State University mailing list to receive information about the three class sessions per year.

List any topics you would be interested in for future Retiree's social events/programs.

Please enter any additional information to share with us that was not previously covered in this form.

Inside Iowa State

To subscribe to the free weekly news e-mail (Inside Update), send your e-mail address to inside@iastate.edu

Identification Card

You (and your spouse) are eligible for an ISU Retiree’s ID card. ID cards are obtained from the Card Office in Room 0530 Beardshear Hall (phone 294-2727).

ISU Retirees Information Form

Join ISU Retirees!

Inside Iowa State

Identification Card