Contact Form for Chicago COCAL

Contingent academic laborers are spread across the Chicago metropolitan area, often teaching at different institutions in the same semester/quarter, or moving from place to place over time. Keeping in touch can be difficult, so we'd like to get some basic information to begin building a database and to keep you informed of COCAL's activities. Please fill in as much of the information below as you are able and willing. If you fill in your e-mail address, we will send you periodic updates.

What is your name?

Please provide the following contact information:

Street Address
Address (cont.)
City
State
Zip Code
Office Phone
Home Phone
E-mail

What subjects or courses do you teach?

At which colleges, universities, or other higher education institutions are you teaching this term? (Use the drop-down boxes if possible; use the "other" box if necessary)

1.
2.
3.
4.
Other

At which colleges, universities, or other higher education institutions have you taught in past terms? (Use the drop-down boxes if possible; use the "other" box if necessary)

1.
2.
3.
4.
Other

Revised September 25, 2005 by the webmaster.