Directions Please complete this form and return it through campus mail to Cindy Lauer 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated field. This ensures that your application is correctly attributed to you.
3. Next, input your Laker ID number, which helps identify your account within the system.
4. Fill in your department and campus phone number for any necessary follow-up communications.
5. Provide your email address, ensuring it follows the format @clayton.edu for proper processing.
6. Select your employment status by marking the appropriate box (12-month employee, 10-month employee, etc.).
7. Indicate the amount you authorize for payroll deduction each month and select your preferred membership plan by checking the relevant boxes.
8. Finally, sign and date the form at the bottom before submitting it through campus mail to Cindy Lauer.

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