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Faculty org

____________________________________________________________________________________________________

FACULTY ORGANIZATION                      September 2008

 

 

DUES FORM FOR THE ACADEMIC YEAR - SEPTEMBER 2008 TO SEPTEMBER 2009

 

Please enter the following information so we may post your payment properly :                         

NAME:          _____________________________________________

          

DEPARTMENT :      _____________________________________________         

 

NJMS ADDRESS:      _____________________________________________     

(Inter-office is preferred)         

_____________________________________________   

 

 

e-mail address:     _________________________ @ umdnj.edu

           

 

 

Please return this form with your payment by check or money order to the NJMS Faculty Organization . A voluntary contribution to any of the activities below will help provide additional support and will be greatly appreciated. Please follow links as listed for information about these programs and awards).

 

Faculty Organization Dues            __$50.00 _________

 

Funded Investigators' Group (FIG $20.00)         _________________

(http://njms.umdnj.edu/faculty_org/fig.cfm)     

 

Lunchtime Concert Series            _________________

(http://njms.umdnj.edu/faculty_org/about.cfm )         

    

Student Summer Research Program          _________________

(http://njms.umdnj.edu/research/orsp/ssr.cfm )       

 

Faculty Organization Outstanding Student Award      _________________

( http://njms.umdnj.edu/faculty_org/about.cfm )       

    

Faculty Lounge Renovations Fund          _________________

(Little by little as funds allow � we are

updating the Faculty Lounge � MSB C-601)     

 

Total   _________________

 

 

 

 

Return to:    NJMS Faculty Organization

    185 South Orange Avenue

    P.O. Box 1709

    MSB C-601

    Newark , NJ 07101-1709