Course & Membership Applications

Application Forms are availble below that you can fill in and mail, if you wish ... or, if you'd rather make your arrangements by phone, you may call the office your selected SeniorNet location. If no one is in, leave your name and phone number and a brief message. We'll call you back quickly and get you started.

If you prefer the mail, please send the form(s) to:

St. Joseph: SWMI SeniorNet Learning Center, 211 Hilltop Road, St Joseph, MI 49085

Benton Harbor: SWMI SeniorNet Center, 175 West Main Street, Benton Harbor, MI 49022

 

 

Select either of the following forms. When the form is displayed, just click on the Printer icon in your browser window. After you've printed the form, you can return to this page (to print a second form) by clicking on your browser's Return Button. 

Click here for the SeniorNet Membership Application

Click here for the Student Registration Form (to register for a class)

 

NOTE: We are not presently equipped to process Credit Cards.

If you mail your applications, please enclose a check or money order, made out to the

Area Agency On Aging.

Thanks.