Date: Thu, 13 Apr 2000 09:29:29 -0700
From: Marian Friestad <msf@lcbmail.uoregon.edu>
To: "'tsspezio@darkwing.uoregon.edu'" <tsspezio@darkwing.uoregon.edu>
Subject: Grad School Request
Our records at the Graduate School indicate that you do not have a GTF appointment for Spring term. If you had enrolled in the health insurance program administered by the GTFF Union in prior terms, then you are eligible to continue your health coverage (for up to 18 months) by paying the premiums yourself. This option is called a COBRA Benefit.
You should contact the GTFF office for information about how to obtain continued coverage.
In addition to contacting the GTFF personally, I would like to ask that
you complete the form below in which you choose whether or not to have
the Graduate School release personal information about you to the GTFF.
This information is used by the GTFF to verify that there has been a change
in your status as a GTF, and therefore a change in your eligibility for
benefits. You may respond to this message electronically, or by printing
out the form and dropping it off at the Graduate School.
Thank you for your prompt attention to this matter.
Marian Friestad
Dean of the Graduate School
University of Oregon
125 Chapman Hall
Eugene, OR 97403
(541) 346-5129
________ 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.
Student ID# ___________________ Department _____________________
Name (please print clearly) ______________________________________
Signature _____________________________________________________
Marian Friestad
Dean of the Graduate School
University of Oregon
125 Chapman Hall
Eugene, OR 97403
(541) 346-5129