Prospective New Member Application

Thank you for your interest in joining LIFE at UCF. Please complete this form to join our prospective membership list. There is no charge to put your name on our prospective membership list.

A form needs to be submitted for each member (couples should apply separately). When LIFE at UCF opens our membership drive for the upcoming Fall, you will receive an invitation to join. We expect to open membership after April 18th. Registration for new members is $225 plus a one-time application fee of $25. Questions can be emailed to info@lifeatucf.org.

Name(Required)

First Last

My spouse is already a MEMBER of LIFE at UCF(Required)

Yes

I am RETIRED from the UCF Faculty, Administration or Staff(Required)

Yes

Address(Required)

Street Address City State ZIP Code

Date of Birth(Required)

Phone(Required)

Email(Required)

Enter Email Confirm Email

This field is for validation purposes and should be left unchanged.