Membership Application Name * First Name Last Name Personal Email * Personal Cell Phone * (###) ### #### What is your employment status? * Current federal employee Former federal employee Current full-time federal contractor Other Employer * If you are a full-time federal contractor, please put your contracting company in parentheses. Example: U.S. Department of Defense (Company X) Job Location * City, State Job Title / Position * Career Level * Please choose exact or equivalent level. GS = General Schedule FS = Foreign Service GS-05/FS-09 (or below) GS-06/FS-08 GS-07/FS-07 GS-08/FS-06 GS-09/FS-05 GS-10/FS-05 GS-11/FS-04 GS-12/FS-03/FS-04 GS-13/FS-03 GS-14/FS-02 GS-15/FS-01 SES Code of Conduct Acknowledgment * https://www.mosaicfeds.org/conduct I have reviewed the Code of Conduct on Mosaic's website and agree to the terms. Are you interested in volunteering for upcoming Mosaic events? If yes, please describe areas of interest. How did you hear about us? * Search engine (i.e. Google, Yahoo) Recommended by friend or colleague Social Media Mosaic Website Mosaic Event Mosaic Email Other Do you want to be added to our Signal group? * If yes, make sure to fill out your phone number at the top of the form. Yes No Thank you for your Mosaic Feds membership application. Please pay your dues to complete your membership. If you have any questions, please email contact@mosaicfeds.org.
