Spring 2010
Five College Learning in Retirement
REGISTRATION

FIRST:  Print out, then fill out this form. Then mail it to:  5CLIR, Mason Hall, Smith College, Northampton, MA 01063

Name___________________________________________New Member?_____Moderator?_____

Address________________________________Town_________________________Zip__________

E-mail (please print clearly)____________________________________________________________

Telephone_____________________   Emergency Contact/Phone______________________________

No phone registrations, please. Confirmation of your seminars will be sent to you.
The LOTTERY: Admission to an oversubscribed seminar will be determined by a lottery of those who have listed that seminar as their first choice on the registration form if received in the office by 9:00 a.m., Friday, December 11th. Registrations that are received after this date will be added to the waiting list behind those who were in the lottery.
   
DIRECTIONS  - - - - PLEASE READ CAREFULLY!  
                    
Please list your seminar choices in order of preference.
Do not list Special Programs! 
Only your first choice will be eligible for a lottery.
If a seminar is full, you will be given the next choice on your list. Please list more seminars than you intend to take, in a preferred order, so we may fill in secondary choices if your initial seminar choices are oversubscribed. List your choices below in order of preference.
                       
1.________________________________________________________________
 
2. _______________________________________________________________

3. _______________________________________________________________ 

4. _______________________________________________________________

5. _______________________________________________________________

6. _______________________________________________________________

7._______________________________________________________________

                                          TOTAL NUMBER of seminars I wish to take __________
     MODERATORS should not include their seminar in the above list or in the total.

A fundamental concept of the 5CLIR program is that all seminar members will participate actively in discussion and in presentation of their reading, research, creative writing, or other original work.