APPLICATION FOR MEMBERSHIP IN THE
CHICAGO CENTER FOR THE STUDY OF GROUPS AND ORGANIZATIONS (CCSGO)

Please print and complete the following and provide an updated vita or resume.

Name:___________________________________Gender______Race_____Age________

Address__________________________________City______________State____Zip____

Telephone: (H)_____________(W)___________Occupation_________________________

Employing Institution (University, if student):____________________________________

Address:___________________________________________________________________

Title & Job Description _______________________________________________________

Group Relations Conference experience_________________________________________

Please return as soon as possible to:

Lynn Hiller
New Trier High School
7 Hap Road
Northfield, IL 60093

You may also contact Lynn Hiller via e-mail at hillerl@k12.il.us.