Membership Enrollment Form
Click here to download a printable Member Enrollment form








July 1, 2014 – June 30, 2015

Name of Institution: _________________________________________


Department URL: _________________________________________________


Address: _________________________________________________________


City: _______________________________  State: ______   Zip: ____________


Contact Person: ___________________________________________________


Title: ____________________________________________________________


Office: __________________________________________________________


Telephone Number: ____________________ Fax: ____________________


Email Address: __________________________________________________

If there are additional individuals from your institution who would like to be on the CHERC list of member participants, please list them and their contact information on the back of this sheet.  There are no additional fees for added member participants. 


Membership Fee:  $125

Please submit via U.S. mail with your membership fee to:

Regina Sorgini

Office of Planning and Institutional Research (OPIR)

St. Mary's Hall - Room 110A

Villanova University, 800 Lancaster Avenue, Villanova, PA 19085-1699

Phone: 610-519-4558                    e-mail:


Text Box: Checks payable to:  Villanova University  CHERC




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