Membership Online Survey Please take a moment and complete our online survey. This will help us tailor programs and volunteer opportunities to fit our members’ interests and needs. Membership Profile & Interest Survey Name: Address: City, State, ZIP: , , Home Phone, Work Phone: Best Time of Day to Contact You: Morning Afternoon Early Evening Night (not after 9PM) E–Mail: Occupation: Name of Partner/Spouse (optional): Number of Children (optional): 0 1 2 3 4 5 6 May we list your name and information in our membership roster? Yes No Would you like to be added to the State Political Action EList? Yes No We will be creating a Section Elist for the purpose of sending information about upcoming events and activities, as well as volunteer opportunities. May we include you on this Elist? (this is separate and different from the State Political Action Elist). Yes No Committees: check all of interest Advocacy Committee Membership Committee Annual Meeting Committee Program Planning Committee Board of Directors Scholarship Fund Committee Finance Committee Shalom Bayit Committee Fundraising Committee Teen Dating Abuse Committee Activities: check all of interest Annual Meeting worker bees Hanukkah Candles (sales) Book Group Holiday Honey (work parties) Book Group Leader Israel Issues Book Group Participant Kline Galland Birthday Parties Bulk Mailings Legislative Advocacy Bulletin Childcare issues Bulletin-Writing & Editing Civil Rights & LGBTQ issues Bulletin - Desktop Publishing Domestic Violence issues Community Service & Social Action Events Gun Control Issues Council House Quarterly Lunch Reproductive Rights Issues Directory Voter Registration Event Planning (e.g.-luncheons, speakers, seder) Marketing/Public Relations Fundraising & Grant writing Membership Involvement Graphic Design Shalom Bayit Volunteer General Volunteer Teen Dating Abuse Facilitator Others: Would you attend events on (check all that apply): Sundays Weekdays Evenings Mornings Afternoons What would you like to gain from your membership in NCJW? Please provide us with names and contact information of people you know who might like to join NCJW or would like information
© 2009 National Council of Jewish Women Seattle Section
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