Retiree Registration

To be recognized for your service at the next Retiree Luncheon, please complete the form below. The date of the 2021 Retiree Luncheon has not been determined yet and will depend on the spread of COVID-19.

The event will recognize faculty and staff members who have retired or will retire from October 2019 through the date of the event. An invitation to the event will be mailed to the current mailing address listed below. Without complete information below, we will not be able to create your introduction for the event.

All fields below must be completed to submit the form.