Ofsaa Alumni Association New Members Application 2013-14 PLEASE PRINT CLEARLY Name _______________________________________________________________ Home Address: _____________________________________________________ Home Phone: ( )_____________ E-mail _____________________________ OFSAA Connection: Please complete the appropriate section. Former Teacher-Coach School ____________________________________________________________ Year of Retirement _____________ Sports Coached ______________________________________________________ OFSAA Roles (President, Board member, convenor, committee member (specify)) ______________________________________________________________________ Awards/Recognitions _______________________________________________ Activities, Hobbies, Travel, Special Occasions etc. ________________________________________________________________________ ________________________________________________________________________ Membership Fees 2013-14 $15.00 of your annual fee covers administrative costs (if you wish Bulletin mailings). A charitable donation receipt will be issued for your donation amount. These monies will go directly into the OFSAA Alumni Scholarship Fund. Cheques should be made payable to “OFSAA” and sent together with this application form to: OFSAA, 3 Concorde Gate, Suite 204, Toronto, ON. M3C 3N7. Attn: Diana Ranken Alumni Association Fee Calculation: Administrative Fee ($15) $ ______ (if you wish to receive the Bulletin) Scholarship Donation $ _______ Total Amount Submitted $ _______ We thank you for your support. Diana Ranken, Alumni Association Coordinator diana.ranken@sympatico.ca 416-291-4037