Request edit access
Prospective / Member Survey
We value your judgment, we appreciate your opinions, and we rely on your participation for our continued success. Our
Knights of Columbus council conducts a variety of programs—programs where you can personally apply your talents and
fulfill your ambitions. In an effort to satisfy your desires and interests, we ask that you complete the following survey.
Full name: *
Your answer
Address: *
Your answer
City / State / Zip Code: *
Your answer
Home Phone:
Your answer
Cell Phone: *
Your answer
Email Address: *
Your answer
Marital Status: *
If married, Wife's Name:
Your answer
Children's Names:
Your answer
Occupation:
Your answer
Name of Employer:
Your answer
Church / Parish:
Your answer
Hobbies / Interests:
Your answer
SERVICE PROGRAM INVOLVEMENT
Please list your preferences for possible committee assignments.
Mark those areas which you find exciting, challenging and promising.
Programs: (Church)
Programs: (Community)
Programs: (Council)
Programs: (Culture of Life)
Programs: (Family)
Membership:
If you are a current member, in your opinion, how can our council improve existing programs? Please be specific.
Your answer
If you are a prospective member, what do you expect from your membership in our council?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms