TYJP needs your input to continue the development of the group. Please take the time to complete this on-line survey.
Basic Information (Bold Fields Are Required):
Name:
Address:
City:
State:
Zip:
Telephone:
E-Mail:
Sex:
Female Male
Age:
Do you wish to subscribe to the TYJP Email List?
Yes:
No:
Would you like someone from TYJP to contact you about the group or upcoming events?
Supplemental Information (Optional):
How long have you been in the area?
Select from the list: Newcomer Less than 1 year 1 - 2 years 2 - 3 years More than 3 years Live outside Triangle
Do you plan to join TYJP as a member?
Yes No Need more info
If yes, are you sending a check at this time?
Yes No
How is the best way to reach you?
E-mail Phone Surface mail
If TYJP published a directory, can your information be included?
Why are you interested in TYJP? (Please select all that apply.)
Jewish Camaraderie:
Social Opportunities:
Meet Boyfriend/Girlfriend:
What types of TYJP events are you interested in? (Please select all that apply.)
Casual Mixers:
Educational Opportunities
Parties:
Happy Hours:
Arts/Theatre/Film:
Sports:
Trips:
Meals:
Dances:
Religious Opportunities
Community Service:
Other:
If you have been to a TYJP event, what do you remember most? If not, why not?
Enter your comments here.
Are you willing to lead, assist, or promote an activity?
If you answered Yes, please enter the type(s) of activities you are willing to lead, assist, or promote:
Enter events here.
What days are best for activities/events for you? (Please select all that apply.)
Sun:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
If you have any other comments or questions, please enter them below:
Enter comments here.
This page last modified by tyjp@nc.rr.com on July 7, 2007.