Membership Renewal Form Name * First Name Last Name Email * Home Residence City, State 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 Title / Position * Job Location * City, State Career Level * Please choose exact or equivalent level. 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 Do you want to be added to our Signal group if not already? * If yes, make sure to fill out your 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.
