Click on Form you Require
Forms in Green below can be filled out on the web and will automatically be emailed to us after you hit the "submit" button

Membership Application

Enrollment Application

Travel Application


Forms in Blue above may be filled out on the web, but must be then printed out and mailed in with your check.

Please print out the form above that you need, fill it out and mail it to our office at P.O. Box 488, Georgetown, Texas 78627, along with a check if needed.  If you have a scanner you can also scan the form in as a “.pdf” file and email it to us as an attachment.

You can also drop it by our office on campus at Southwestern, for directions please click this link:


Application Board Membership


Course or Lecture Proposal

Course or Lecture Suggestion

Evaluate Course

Evaluate Course (Multiple Instructors)

Evaluate Summer Lecture

Evaluate Travel

Suggestions for Travel

Public Lecture Evaluation Form


 NOTE: The submit function no longer is available please just fill out form and print out on your printer and mail in.

  Physical Address:  Southwestern University, Prothro Center for Lifelong Learning, Room 164
  Mailing Address: P.O. Box 488, Georgetown, Texas 78627

  Phone: 512-819-7680     email: