SOAR LLI (Society of Active Retirees) | Online Registration

Setup New Account

In order for SOAR to pursue external funding, we need to know more about our participants as a whole. Please complete the following questions. This information is CONFIDENTIAL and will be used for statistical purposes, reported in the aggregate only. If you do not wish to answer a specific question, just leave it blank. We appreciate your cooperation.

Setup Login Info

Required fields are denoted by *--. You are in the Setup Login Info section. Continue to tab below to start reading or entering your information.

* Username(Create your username)

* Password(minimum 8 characters)

* Confirm Password

Must contain an uppercase, three lowercase, a digit and a non-alphanumeric character (e.g. $ @ # %). Example "Abbbxx1#".

Personal Info

Required fields are denoted by *--. You are in the Personal Info section. Continue to tab below to start reading or entering your information.

* What best describes your relationship to this account?

Title of Preference(Mr., Mrs., Ms., Dr., Prof., Rev.)

* First Name

M.I.

* Last Name

Gender

Date of Birth

Home Phone / Mobile Phone(ex: xxx-xxx-xxxx)

Work Phone(ex: xxx-xxx-xxxx)

ext.

* E-mail

Age Range(Optional)

* Class Schedule Delivery Preference(How would you like to receive your class schedule?)

Primary Address

--. You are in the Primary Address section. Continue to tab below to start reading or entering your information.

* Country

* State/Province/Region

* Address Line One

Address Line Two

* City

Postal Code

* Address Type

Emergency Contact

Required fields are denoted by *--. You are in the Emergency Contact section. Continue to tab below to start reading or entering your information.

Name

Phone(xxx-xxx-xxxx)

Statistical Form

Required fields are denoted by *--. You are in the Statistical Form section. Continue to tab below to start reading or entering your information.

Ethnicity

* Birth Year

Retirement Year

Civil Status

Annual Household Gross Income

Number of People in Household

Educational Background(degree is not a pre-requisite for SOAR membership)

Former Occupation

Other Skills

Are you a Wayne State University Alumnus?

How did you learn about SOAR?

Other