2024 QCFB Membership Form

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Thank you for your interest in the Queen City Freedom Band! Please take a moment to read over our Membership Handbook for important information about joining our band.

This form also collects sensitive demographic information to be anonymized and used in grant applications. You may opt out of specific questions if you do not feel comfortable sharing.

Do not hesitate to reach out with any and all questions! secretary@qcfb.org or info@qcfb.org

#ComeOutAndPlay

Preferred First Name *

Preferred Last Name *

Pronouns

Email Address *

Phone Number

Primary Instrument *

Secondary Instrument(s) you'd be able and willing to play

Do you agree to the membership guidelines outline in the membership handbook? *

Yes

QCFB relies on the talents of our volunteers to be a successful band. What type of skills would you be willing to offer? (Check all that apply).

Administrative - Database / Tracking Information

Administrative - Note Taking

Advertising - Member Recruitment

Advertising - Photography / Videography

Advertising - Social Media Content

Advertising - Website Development/Management

Assets - Copying / Printing Services

Assets - Big Van / Truck to Transport Items

Bookkeeping/Accounting

Event Planning - Fundraising

Event Planning - Social

Fundraising - Corporate Donations / Sponsorships

Fundraising - Grants

Fundraising - Individual Donor Solicitation

Leadership - Potential Board Member or Committee Chair

Promotion - Concert Poster Design

Promotion - Circulating Posters in Community

Promotion - Concert Program Design

Hospitality - Greeting Members / Audience

Hospitality - Providing Snacks / Drinks

Physical - Chair Set Up / Take Down

Physical - Moving Percussion

Other:

Demographics

This information will only be seen by the band Secretary, Samantha. She will anonymize the data to be used in grant applications. You are welcome to opt out of any of the questions.

Age (must be at least 18 to participate)

Not 18 yet but I will be soon!

18-24

25-34

35-44

45-54

55-64

65 or over

Over 18 but prefer not to say

Clear selection

Ethnic Background (mark all that apply)

Black or of African descent

East Asian

Hawaiian or Pacific Islander

Indigenous, American Indian or Alaskan Native

Mexican, Central or South American

Middle Eastern or North African Native

South Asian

Southeast Asian

White, Caucasian, or of European descent

I don't wish to answer

Are you of Hispanic / Latinx origin?

Yes

I don't wish to answer

Clear selection

How would you describe your gender identity? (mark all that apply)

Man

Non-binary

Woman

I don't wish to answer

Other:

Do you identify as transgender?

Yes

I don't wish to answer

Other:

Clear selection

How would you describe your sexual orientation? (mark all that apply)

Asexual

Bisexual and/or pansexual

Gay

Heterosexual

Lesbian

Queer

I don't wish to answer

Other:

Highest level of education attained?

Some high school

High school graduate, diploma or equivalent

Trade/technical/vocational training

Associate degree

Bachelor’s degree

Master’s degree

Doctorate degree

Professional degree (JD, MD)

Prefer not to say

Other:

Clear selection

Annual household income

$0-$29,999

$30,000-$59,999

$60,000-$89,999

$90,000-$119,999

$120,000+

I don't wish to answer

Other:

Clear selection

Are you paid to play your instrument professionally?

Yes, it's my main source of income

Yes, but part-time

Yes, occasional gigs

No, just love making music!

I don't wish to answer

Other:

Clear selection

Zip Code

Thank you & a note about dues

Dues are $30 for the season and can be payable via check, cash, Venmo, or Square. If the cost is prohibitive, email our new Treasurer Matt and special arrangements can be made (treasurer@qcfb.org).

Anything else we should know?

Submit

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