This questionnaire alerts MSU retirement service providers of your intention to retire and your choices of available services and programs. Click this link for a summary of the MSU Retirement Assistance and Exit Interview Process.

Full name:
Position at MSU:
Department or administrative unit at MSU:
Anticipated retirement date (mm / dd / yyyy): 
E-mail:
Phone:
Other phone:
Other contact information:


Do you want information about retiring and the retirement process?
If you answer yes, you will be contacted by a member of the Association of Retired Faculty who can direct you to the appropriate information source.
Do you want to participate in an Exit Interview?
If you answer yes, you will be contacted by a member of the Association of Retired Faculty who can explain and initiate the Exit Interview Process. Click these links for Exit Interview guidance: for the intervieweefor the interviewer.
Are you interested in presenting a Capstone Lecture?
If you answer yes, you will be contacted by a member of the Capstone Lecture Committee of the Association of Retired Faculty. Click this link for a description of the Capstone Lecture series.
 
Are you interested in being nominated for an Emeritus title?
If you answer yes, you will be contacted by a member of the Association of Retired Faculty who can explain and initiate the nomination process. Click this link to view the MSU Emeritus policy.
Are you interested either in joining the Association of Retired Faculty or participating in ARF social and informational events?
If you answer yes, you will be contacted by a member of the Association of Retired Faculty who will describe ARF programs and see that you are added to the appropriate contact lists. Click this link for the homepage of the Association of Retired Faculty.
Other information (optional):   
Please list the ways, if any, in which you plan to remain associated with Montana State University during retirement:
Please list the main reason(s) for retiring at this time:
Please review all entries, then click Send button: