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Membership Application
Membership in the Nexel Collaborative is open to institutions of higher education offering a midlife transition program at their college or university. Membership includes access for your team to attend virtual meetings, connect with the growing network of like-minded colleagues, and to access resources created by and for the community.
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
What is your interest in the Nexel Collaborative?
*
Your answer
Postsecondary Institution (e.g. university or college) affiliation
*
Your answer
Your job title or role (and department, if applicable)
*
Your answer
If you're filling this out on behalf of others on your team, and they would like to be included in our communications, please provide their name(s), title(s) and email address(es), with their permission.
Your answer
Do we have permission to list your school as a
participant
on TheNexel.org website?
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Yes
No
Other:
Do we have permission to list your contact information on an internal members-only directory?
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Yes
No
Other:
Location: complete physical mailing address
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Your answer
Telephone number (please include country and area code)
Your answer
Midlife transition program name and URL, if available
Your answer
Any comments, questions or other information you'd like us to know?
Your answer
A copy of your responses will be emailed to the address you provided.
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