The following document was transmitted to Senate President Peter Gilkey on 4 May 2000 as an enclosure in an email from GTFF President Paul Prew (veerleft@darkwing.uoregon.edu). This document is posted per the request of Paul Prew.

You must indicate by checking one of the boxes below whether or not you authorize the University of Oregon to release information (name, ID number, and terms of employment) to the Graduate Teaching Fellows Federation (GTFF). The GTFF needs this information to verify access to health insurance benefits. Your authorization to release information to the GTFF will remain in effect for the duration of your appointment as a GTF.

________ Yes, I authorize the University of Oregon to release this information to the GTFF.

________ No, I do not authorize the University of Oregon to release this information to the GTFF.

Web page spun on 04 May 2000 by Peter B Gilkey 202 Deady Hall, Department of Mathematics at the University of Oregon, Eugene OR 97403-1222, U.S.A. Phone 1-541-346-4717 Email:peter.gilkey.cc.67@aya.yale.edu of Deady Spider Enterprises