(Click "Print" in File menu to print out a copy of this SURVEY FORM.)
|
Academy for
Lifelong Learning of Cape Cod">
(Click "Print"
in File menu to print out a copy of this SURVEY FORM.)
Academy for
Lifelong Learning of Cape Cod, Inc.
Members
Information Survey –
Fall 2008
Please help us get to know you better by
providing the information below. Please complete and return it with your
registration form.
Name_______________________________________
Phone______________________
Address______________________________________
___________________________
# Street
email (will
not be shared)
_______________________________
Town
!. I am____ New
Member _____Current, Since____________
(Check one)
2. Primary Vocation or
Avocation______________________________________________
.
3. Have you coordinated/led
classes (at ALL or elsewhere)? _____Y _____N
Subject___________________ Where____________________ Level___________
4. Would you like to
co-ordinate/lead a course for A.L.L.? _____Y _____N
What type of
course______________________________________________________
5. What course subjects would you
like A.L.L. to conduct NOT INCLUDED in the Spring Catalog?
______________________________________________________________________
______________________________________________________________________
6. Complete the
following: I am a Current member (place X)
I am Interested in (placea)
Click for brief description of
committee responsibilities.
___Curriculum ___Newsletter ___Public
Relations ___Office Help
___Long
Range Planning ___Registration ___Ways & Means ___ALL
Magazine
___Membership ___Arts Showcase ___Special
Events ___Hospitality
___Policy Procedure ___Fund Raising ___Nominating
___ Word Processing for Catalog & Newsletter
___Other We
welcome your ideas and suggestions. Please feel free to attach additional
information
sheets.
______________________________________________________________________
______________________________________________________________________
Thank you for your
cooperation. The Membership Committee |