Fall 2017 September 11 - November 17 Registration starts August 16! Dr. Holly M. McLain, CCC-A, F-AAA Clinical Audiologist • Hearing Aid Sales and Service • Complete Hearing and Balance Evaluations • Treatment for Dizziness and Tinnitus 5128 Old Highway 11, Suite 8 • Ha6iesburg 601-450-0280 3-B-5-5 For ad info. call 1-800-477-4574 • www.4lpi.com 14-1361 The Osher Lifelong Learning Institute, better known to its members as OLLI, is designed for adults 50 and older with wide-ranging interests. If you have questions, don’t hesitate to call our office or come by and see what OLLI is all about. We are available and happy to help! At OLLI, there are no grades and no tests, just an ever-growing group of active adults who want to learn. All that’s required is being ready to learn and participate - no previous affiliation with The University of Southern Mississippi necessary. Please PRINT clearly and complete all information. Name _________________________________ Joining Spouse’s Name___________________________ Address __________________________________ City ____________________ State ______ZIP _________ Home Phone (____)_______________ Cell (____)________________ Spouse Cell (____)______________ Email address _____________________________ Spouse Email Address _________________________ Date of Birth (mm/dd/yr) _________________ Spouse Date of Birth (mm/dd/yr) ______________ Preferred Method of Contact: Home Phone ______ Cell Phone ______ Email ______ Type of vehicle: Passenger Car ____ Truck ____ Van ____ Make: __________ Color: _________ Tag #: ____________ State: ____ Style: 4-Door ___ 2-Door ___ Truck ___ Van ___ SUV ___ In case of emergency, who should we contact? ___________________________________________ Relationship _______________ Phone ______________________ Any medical condition of which we should be aware? ___________________________________ ___________________________________________________________________________________________ Individual Membership, Hattiesburg Chapter: $50.00 Quantity: ____ Check ______ Individual Membership Gulf Park Chapter: $40.00 Quantity: ____ Cash _____ Amount Paid $______ Credit _____ OLLI is member-driven. How would Alumnus/Alumna of USM? ___Yes ___No you be interested in helping? ___ Arts How did you hear about OLLI? ___ Curriculum (HBG or GP) TV___ Radio___ Newspaper/Magazine___ ___ Communication Facebook___ Friend___ Family___ ___ Finance ___ Fundraising What was/is your profession? _______________ ___ Building and Grounds (HBG) _______________________________________________ ___ Fundraising ___ Social (HBG or GP) Signature:_____________________________________ ___ Technology Date:___________________ Please note by joining OLLI and signing above you acknowledge the following: • Individuals acknowledge and assume any and all risk associated with participating in OLLI activities. OLLI makes no representation regarding the appropriateness of activities for an individual. OLLI disclaims any and all liability for an individual's participation in said activities. • Facilitators are responsible for developing their own course content. The information, views and opinions provided by OLLI facilitators are those of the facilitator and do not necessarily reflect the views and opinions of the OLLI organization. • OLLI reserves the right to take photographs or videos during the operation of any program and to use them, whether taken by a representative of OLLI or by other participants, for promotional purposes. By enrolling in an OLLI program, participants agree to allow their images to be used in such photography. Participants who prefer that their images not be used are asked to contact the OLLI office. • If you register for a course or an event that involves physical activity, you are responsible for wearing proper attire and using the proper equipment (if applicable). It is highly recommended you consult your physician before participating in any physical activity. OLLI disclaims any and all liability for each individual's participation in any course that involves physical activity. ADDITIONAL INFORMATION MEMBERSHIP AND CLASS REGISTRATION PAYMENTS AND REFUNDS Am I able to register in person? You may come to How should I pay? Once you have received confirmation either campus location and register in person with from the office regarding your enrollment you may pay OLLI staff beginning on August 16, 2017 during nor- online, through the mail, or in person. You will receive a mal business hours. Am I able to register online? Yes! link to a secure payment site if you wish to pay online. OLLI is excited to offer online registration available. For your protection, we no longer allow members to write Please visit www.usm.edu/olli to register from the credit card numbers on registration forms. comfort of your home. Under the header “Forms” on What happens if I paid for a class and it is cancelled? the left side of the screen, you will find registration When a class, seminar, or field trip is cancelled by the forms for both campuses. Am I able to mail in my office, all members are notified via phone and/or email registration? We prefer that all class registrations be and OLLI staff will credit the amount paid. done through our online system at May I request a refund? If you paid with a credit card, a www.usm.edu/olli. If it is infeasible for you to refund will be applied to your credit card when the class register online, you may call the office nearest you is cancelled or you withdraw within the guidelines. OLLI and a staff member will register you over the phone. does not issue cash refunds. Enrollees may choose to Hattiesburg (601) 264-2780 | Gulf Park (228) 214-3277 request a refund by completing a W-9 to receive a CLASS CANCELLATION POLICY remittance check. Those who request a refund or Two weeks before the term begins, the office will reimbursement should contact the office to begin the begin contacting facilitators and confirming that process within 10 working days of cancellation. classes have the required number of members Can I use credits from semester to semester? We will enrolled to continue. OLLI reserves the right to gladly apply your credits to pay for classes, seminars and cancel any class at any time, for any reason. field trips in a future semester. Members may not use COMMUNICATIONS credit on an account toward membership dues. OLLI sends out “Director’s Update” weekly or as Membership dues cannot be refunded. needed via email to keep you informed of upcoming What happens if I can't attend a class? If an individual events and cancellations. If you have given us an cancels at least one week prior to a class or seminar,a email address but are not receiving emails, please credit will be issued for future registrations. If an add [email protected] and [email protected] to your individual cancels prior to the field trip stated address book. Check your spam or junk folders if you cancellation deadline, a credit or refund will be issued are not receiving emails from OLLI .This is the best per the guidelines for the trip. Field Trip deposits are non- way to be kept informed of current and upcoming refundable. If the individual chooses not to attend a activities. Contact the office if you do not receive it. course or field trip without contacting the office in ad- PARKING vance of the event, no credit or refund will be issued. Parking lots for the Hattiesburg campus are provided FIRST-AID KIT/DEFIBRILLATOR on N. 37th Avenue between Pearl St. and Montague OLLI Hattiesburg Campus has a defibrillator located next Blvd. Handicapped-accessible parking is available by to the east entrance of the Peck House. A first-aid kit is both entrances For our Gulf Park campus, parking is located in the Peck House kitchen cupboard above the available in any parking lot. USM has discontinued microwave oven. First aid and CPR signs are posted. parking decals in lieu of online registration. Come to COMMITMENT TO DATA SECURITY any OLLI office to register your vehicle. The University of Southern Miss is dedicated to INCLEMENT WEATHER preventing unauthorized information access, maintaining OLLI follows the policy of The University of Southern information accuracy, and ensuring the appropriate use Missis- sippi in times of inclement weather. If the of information. We strive to have appropriate physical, university chooses to close either the Hattiesburg or electronic and managerial safeguards to secure the Gulf Park campuses because of weather conditions, information we collect in all formats: on paper, OLLI will also cancel classes. Rely on a trusted news electronically and verbally. Security practices are source when the National Weather Service issues a consistent with the policies of the university, the laws and storm watch or warning. Please do not risk traveling regulatory practices of the state of Mississippi, and until danger has passed. multiple federal agencies. ADDITIONAL INFORMATION Gulf Park Courses Registration begins August 16! Art 4 It's as easy as 1-2-3! Cooking & Eating 5 Crafts 5 1. Find “Forms” on the left hand menu and Gardening 6 select the form for your campus! Exercise 7 Finance 8 2. Complete the form by checking the boxes for Health 9 the classes you’d like to take. (If you’d like a History 10-11 copy of your classes to be emailed to you, Literature 11 simply enter your email address in the form. Recreation 12 Religion 12 3. Click Submit! Science 13-14 Technology & Travel 15 You’re always welcome to join and register in Writing 15 person or over the phone too! Hattiesburg Courses Never been an OLLI Art 19 member before? Craft 20 Exercise 21-22 Fashion 23 Finance 23 Food and Nutrition 24 Here's a voucher good for Gardening 25 1 FREE seminar! Health 25-26 History 27-28 Language and Literature 29 Come test drive OLLI before you Performing Arts 30 join! Political Science 31 Recreation 31-32 Valid only for individuals who have Religion & Spirituality 33-34 never previously joined OLLI.