Membership

Membership dues are $25.00 for standard members and $10.00 for student members.
Dues shall be paid to the current treasurer upon joining SRS GLOBE and every subsequent October.
Please review the charter for more information about membership.

* Required Fields

Contact Information (required)
First Name: * A value is required.
Last Name: * A value is required.
Mailing Address 1: * A value is required.
Mailing Address 2:
City: * A value is required.
State: * A value is required.Invalid format.
ZIP: * A value is required.Invalid format.
Work Phone: * A value is required.Invalid format.
Home/Cell Phone: * Invalid format.
E-mail (non-SRS): * A value is required.Invalid format.

 

Background Information
  Spouse/Partner Name
  Employer * A value is required.
  Job Title/Description
  Schedule (e.g. Days, Shift 40, AA, etc.)
  Preferred Meeting Time
     
  How do you self identify?
  Are you out at work?
  Are you out to family/friends?

 

Please rank the following issues (1=least important, 5=most important)
Soft Domestic Partner Benefits (sick leave, death in family, etc.)
Hard Domestic Partner Benefits (health care, survivor benefits)
On-site June pride recognition event
Other

 

If you prefer you may still fill out the .pdf version of the membership application and
e-mail the completed form to GLOBE@srs.gov.