Associate Membership

The following application is intended for persons who wish to be considered for membership in OSURA but who do not meet the eligibility for regular membership. This status is intended for persons who are retired from places other than Ohio State University who are interested in membership in OSURA and can contribute to the purpose of OSURA.  Also, persons who are nearing retirement from Ohio State may apply for Associate status.  Applications for Associate Membership status must first be approved by the Membership Committee.

Membership requires an annual donation of $25 or more.  Spouse/partner is automatically included as a member.

If you need additional information, please contact the Membership Committee Chair at osura.membership@gmail.com.

Name (required)

Email (required)

Spouse/Partner Name (Enter N/A if not applicable)

Spouse/Partner Email (Enter N/A if not applicable)

Address (required)

Phone number ex:(123)123-1234 (required)

If you have retired from somewhere other than Ohio State, where did you retire from? (Enter N/A if not applicable)


If you have retired, indicate your date of retirement. (Enter N/A if not applicable)

Have you had any prior (or current) employment at Ohio State University? (required)

If yes, please identify the duration and location of where you worked. If approaching retirement at OSU, indicate your anticipated date of retirement. (Enter N/A if not applicable)

Describe other associations with Ohio State (e.g. alumnus, family members attending): (required)

How did you hear about OSURA? (required)

Please indicate why you are interested in membership in OSURA and how you feel you can contribute to the purpose of OSURA: (required)

To prevent spam, what is:

The Membership Committee will review your form and notify you whether or not the membership for Associate has been approved.  Accepted applicants will be provided instructions for making annual donations.