Membership Renewal Form 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 Job Title / Position * 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 Career Level * Please choose exact or equivalent level. GS = General Schedule FS = Foreign Service GS-05 (or below) GS-06 GS-07 GS-08 GS-09 GS-10 GS-11 GS-12 GS-13 GS-14 GS-15 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. Would you like to be added to our Signal group? * If yes, make sure to fill out your personal phone number at the top of the form. Yes No Already in it Do you have any feedback for Mosaic? Thank you for your Mosaic membership renewal. Please pay your membership dues here to complete your application for renewal. If you have any questions, please contact Director of Membership, Merium Khan, at membership@mosaicfeds.org.
