Please provide the following information to become a member of the SUNY Retirees Network. This information will be used for registration purposes only.
Any item denoted with a * is required.
* First Name:
* Last Name:
* SUNY Campus Retired From:
Alfred - Ceramics
Cornell - Ag & Life
Cornell - Human Ecol
Cornell - Ind & Lab
Envir Sci & Forestry
Vet Med - Cornell
* Year of Retirement from SUNY:
* Phone #:
* Mailing Address:
(second line if needed)
* County (USA):
* Country (if live outside of USA):
* Email (preferred):
Campus Email (if applicable):
Campus User ID:
(required to access secure content)
* Are you interested in volunteering on campus and/or in the community?:
Yes - Campus/Community
Yes - On Campus
Yes - In the Community
If you would like to volunteer at a SUNY state-operated or community college campus, please select up to three (3) areas of interest or expertise from the drop-down fields below, or write in your own.
If you would like to volunteer in your community, please select up to three (3) areas of interest or expertise from the drop-down fields below, or write in your own.
Please type the text in the image into the Image Text field:
The Image Text should have 6 characters and no spaces, and the capitalization
must match.If you have difficulty with this image, please refresh the page for a new code, or
Note: Someone from the SUNY Retirees Service Corps (RSC) may contact you to verify/seek additional information before your membership in the SUNY Retirees Network can be approved.
If you would rather print and mail a paper form, please use one of these: