Summer 2018 Application - davidshapiro.net, Inc.
Please fill out completely so we can determine if our summer weekend vacations are a good fit and would be something you would enjoy. The survey will also help us recommend which specific weekend(s) and destinations would be the most appropriate.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone # (we will contact you for a phone interview) *
Your answer
Gender *
Date of Birth (we will keep your age confidential, but this is VERY important for matching roommates and helping you select the right weekends.) *
MM
/
DD
/
YYYY
Where do you currently reside (city, state) *
Your answer
Profession *
Your answer
How did you hear about us? (check all that apply) *
Required
What type of activities are you interested in? What do you like to do when you are on vacation (relax on the beach, yoga, surfing, fine dining, nightlife, etc.) *
Your answer
Please include link to your Facebook Profile (full url, NOT just your name on Facebook). This is very important. It will help us to see what friends we already have in common. For example, you url looks something like "https://www.facebook.com/profile.php?id=100013205743469" *
Your answer
What is your party level on a scale from 1-10? *
Early to Bed
Party Animal
Anything else we should know to help you select the best trips for you?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Davidshapiro.net. Report Abuse - Terms of Service - Additional Terms