USCF Membership Form

As a staff (full time or part time, faculty member, administrative or research or teaching staff) member of a university or other institutes of higher learning (IHL) 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. I consent to be contacted for disseminating information relevant to USCF activities and communication.

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

 

    GENDER: 

 

    HOME ADDRESS:

 

    OFFICE PHONE:

    MOBILE NUMBER: 

    (If you do not want to join the

    WhatsApp group, please write a statement here)

 

    E-MAIL ADDRESS:

 

    APPOINTMENT:

 

    DEPT/SCHOOL/CENTRE/UNIT:

    INSTITUTES OF HIGHER LEARNING (IHL, delete irrelevant ones): NUS/NTU/SMU/SUTD/SUSS/DUKE-NUS/SIT/NUHS/A*STAR/NIE/POLYTECHNICS/ITE

 

2. I am a baptised member of:  

 

3. I currently worship at:

 

4. Signature and date:

 

 

PLEASE PRINT OUT THIS FORM, COMPLETE AND SIGN, SCAN or TAKE A PICTURE, AND EMAIL TO: member@nusscf.org 

For clarification, please call Prof Hanry Yu at 91123461.