Montana State University Faculty Retirement Information Form

The results from this submitted form will alert the MSU Association of Retired Faculty of your intention to retire and of your choices of available services and programs. In addition to submitting this form and contacting your retirement agency (TRS, or TIAA-CREF), you need to contact MSU Human Resources as soon as possible to initiate your formal Retiree Separation/Termination Checklist and to determine necessary paperwork for the continuation /delivery of benefits. If you have questions about this form or the Association of Retired Faculty, please contact retiredfaculty@montana.edu.

No information from this form will be transmitted or recorded until the SUBMIT button at the bottom of the page has been activated.

Full Name:
Position at MSU:
Department or
Administrative Unit at MSU:
Anticipated Retirement Date: (mm/dd/yyyy)
E-mail:
Phone:
Other Phone:
Other Contact Information:
Do you want information about retiring and the retirement process? Yes (default selection)
No
If you answer yes, you will be contacted by a member of the Association of Retired Faculty who can direct you to the appropriate information source.

Do you want to participate in a Reflection and Feedback Meeting? Yes (default selection)
No
If you answer yes, you will be contacted by a member of the Association of Retired Faculty who will
coordinate your meeting with a Reflection and Feedback Committee. The rationale for the reflection and feedback meeting and preparation guidance for the retiree are available in the reflection and feedback document.
Are you interested in presenting a Capstone Lecture? Yes (default selection)
No
If you answer yes, you will be contacted by a member of the Capstone Lecture Committee of the Association of Retired Faculty. View a description of the Capstone Lecture series.
Are you interested either in joining the Association
of Retired Faculty or participating in ARF social
and informational events?		 Yes (default selection)
No
If you answer yes, you will be contacted by a member of the Association of Retired Faculty who will describe ARF programs and see that you are added to the appropriate contact lists. View the home page of the Association of Retired Faculty for additional information about membership, dues, and activities.
Other information (optional)
Please list the ways, if any, in which you plan to remain
associated with Montana State University during retirement:
Please list the main reason(s) for retiring at this time:
Please review all entries,
then click Submit button:
01/16/2012