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.

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.

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

* First Name

M.I.

* Last Name

* Relationship type to this account?

Gender

* Birth Year

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?)

* How did you learn about SOAR?

Create Your Login

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

Please make sure to take note of your username and password to access your account -- memberships, class registrations later.

* Username

* Password(minimum 8 characters)

* Confirm Password

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

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

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?

Other