** ** 2009-2010 Annual Membership Application ** **

Membership Application Form

Please fill out your application information below, then click "Continue" at the bottom of the page

First Name: *
Last Name: *
Title:
Email Address: *
Institution: *
Street Address:
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Type of Member:	Institutional Member Associate Member Note: Active Institutional Membership is limited to persons engaged in the Administration of Student Financial Aid who are representing institutions of higher education in Connecticut. Each dues-paying institution shall have ONE vote. Associate institutional membership is limited to higher education institutions located outside of Connecticut, government agencies, and other entities whose primary purpose supports the administration of post-secondary financial aid.

Designated Voting Member (Institutional Members Only)
First Name:
Last Name:
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Membership Dues are $150 - Payable to CAPFAA Inc. Please send your check or purchase order to: Carolyn LeGeyt, Senior Associate Director of Financial Aid Trinity College 300 Summit Street Hartford, CT 06106 PLEASE NOTE: According to Article 1 of the CAPFAA Constitution, "Dues are payable on or before October 1. Members in arrears for dues may be dropped from the Association by action of the Executive Council. MEMBER SHALL BE NOTIFIED IN WRITING BEFORE BEING DROPPED FROM THE LIST." For more information, contact Florence LaCroix at nflacr@bpthosp.org or call Florence LaCroix at (203) 384-3202 .