As a staff (full time, part time, research or teaching assistant) member of the NUS who agrees with the Statement of Faith and Objectives of the USCF, I wish to become a member of the USCF.  Information provided on this form will be treated with strict confidence.

1. NAME (WITH TITLE): MR/MRS/MS/DR/ASSOC PROF/PROF

   GENDER: 

   HOME ADDRESS:

   OFFICE EXTN:

   E-MAIL ADDRESS:

   APPOINTMENT:

   DEPT/SCHOOL:

2. I am a baptised member of:  

3. I currently worship at:

4. Signature and date:

PLEASE RETURN APPLICATION TO

Dr Gilbert Yeoh

Department of English Language and Literature

Faculty of Arts and Social Sciences

National University of Singapore