First Name *

Last Name *

Email Address *

Phone Number *

Home Address 1 *

Home Address 2

City *

State/Province *
- Select State Alabama Alaska American Samoa Arizona Arkansas Armed Forces Afr/Can/EU/ME Armed Forces Americas Armed Forces Pacific Baker Island California Colorado Connecticut Delaware Federated State of Micronesia Florida Georgia Guam Hawaii Howland Island Idaho Illinois Indiana Iowa Johnston Atoll Kansas Kentucky Kingman Reef Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Midway Islands Minnesota Mississippi Missouri Montana Navassa Island Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Palmyra Atoll Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Trust Territory of Pacific Utah Vermont Virgin Islands Virginia Wake Island Washington Washington D.C. West Virginia Wisconsin Wyoming

Zip/Postal *

Do you want to get promotional emails from AARP?
Yes

Please give us a brief description of your education, work and/or volunteering experiences. *

Please give us a brief description of your special hobbies and interests. *

Are you interested in (Please select all that apply) *
Serving as a mentor for a student on their intergenerational interaction project
Socializing with students from SAGE
Participate in story circles
Any activities organized by the Grand Connections Program

What things would you like to share with a college student (Please select all that apply) *
Hobbies and special skills/talents
Life lessons
Discussions of issues (e.g., political, religious, environmental, current affairs)
Family histories
Not listed Please specify a value for What things would you like to share with a college student (Please select all that apply)

How much time would you be able to spend on Grand Connections-related activities *
A couple of hours per week
A couple of hours every two weeks
A couple of hours every month

Do you have any suggestions on activities that you wish to do together with GVSU students? We will take them into consideration when we organize the SAGE activities. *