Mason Affiliate G Number Application

OLLI Affiliate G Number Application

This application should be submitted to obtain a Mason G number which will provide access to a Mason ID, Patriot Pass Account and other university privileges available to university affiliates. Visit http://ollidev.earthcare.com/university-privileges/ to view the current list of university privileges.

Name(Required)

First name, Middle Initial, Last name

Have you ever been a student or employee at George Mason University?

Yes

If yes, please list your G#:

Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Phone(Required)

Email(Required)

Date of birth(Required)

Month

Day

Year

Citizenship(Required)

US Citizen

Permanent Resident

Non-Immigrant

Substantial Presence

Ethnicity

Asian/Pacific Islander

Hispanic

Black, not of Hispanic origin

Native American or Alaskan National

White, not of Hispanic origin

Gender(Required)

Male

Female

Prefer not to say

Name

This field is for validation purposes and should be left unchanged.

OSHER LIFELONG LEARNING INSTITUTE
AT GEORGE MASON UNIVERSITY

4210 Roberts Rd. Fairfax, VA 22032-1028
Phone: (703) 503-3384
Fax: (703) 503-2832
Email: olli@gmu.edu

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OLLI Mason is a nonprofit, equal opportunity 501(c)(3) organization
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OLLI Affiliate G Number Application

OSHER LIFELONG LEARNING INSTITUTE AT GEORGE MASON UNIVERSITY

4210 Roberts Rd. Fairfax, VA 22032-1028 Phone: (703) 503-3384 Fax: (703) 503-2832 Email: olli@gmu.edu

OSHER LIFELONG LEARNING INSTITUTE
AT GEORGE MASON UNIVERSITY

4210 Roberts Rd. Fairfax, VA 22032-1028
Phone: (703) 503-3384
Fax: (703) 503-2832
Email: olli@gmu.edu