Request edit access
Book Club Participation Form
Use this form to participate in the Allume Book Club!
Our employees are invited to participate! Fill out the form below, indicating who you are, which book you read, and questions about what you learned. After you submit the form, you will be paid the bonus for the amount specified for each book. Your bonus will be processed within 30 days.
Books & Bonuses:
- December, 2018 - THE FOUR AGREEMENTS by Don Miguel Ruiz - Bonus Amount = $30
- January, 2019 - CRUCIAL CONVERSATIONS by Kerry Patterson - Bonus Amount = $40
- February, 2019 - THE RIGHT QUESTIONS by Debbie Ford - Bonus Amount = $30
- March, 2019 - SCALING UP by Verne Harnish - Bonus Amount = $100
- April, 2019 - FISH! by by Stephen C. Lundin, Harry Paul & John Christensen - Bonus Amount = $20
- May-June, 2019 - THE 4 DISCIPLINES OF EXECUTION by Chris McChesney, Sean Covey & Jim Huling - Bonus Amount = $50
- July & August 2019 - THE DESIRE MAP by Danielle LaPorte - Bonus Amount = $20
- September, 2019 - RADICAL FORGIVENESS by Colin Tipping - Bonus Amount = $20
- October, 2019 - PURPLE COW by Seth Godin - Bonus Amount = $20
- November-December, 2019 - WORTH DOING WRONG by Arnie S. Malham - Bonus Amount = $20
- January-February 2020 - ATOMIC HABITS by James Clear - Bonus Amount = $30
- March-April 2020 - 5 LANGUAGES OF APPRECIATION by Gary Chapman - Bonus Amount = $20
* Required
Email address
*
Your email
Email Address Confirmation
Your answer
Today's Date
*
MM
/
DD
/
YYYY
First name:
*
Your answer
Last name:
*
Your answer
Mobile phone number:
*
Your answer
Which “book of the month” did you read? What is the title of the book?
*
THE FOUR AGREEMENTS by Don Miguel Ruiz - Bonus Value = $30
CRUCIAL CONVERSATIONS by Kerry Paterson - Bonus Value = $40
THE RIGHT QUESTIONS by Debbie Ford - Bonus Value = $30
SCALING UP by Verne Harnish - Bonus Value = $100
FISH! by by Stephen C. Lundin - Bonus Value = $20
4 DISCIPLINES OF EXECUTION by Sean Covey et al - Bonus Value = $50
THE DESIRE MAP - by Danielle LaPorte - Bonus Value = $20
RADICAL FORGIVENESS - by Colin Tipping - Bonus Value = $20
PURPLE COW - by Seth Godin - Bonus Value = $20
WORTH DOING WRONG by Arnie S. Malham - Bonus Amount = $20
ATOMIC HABITS by James Clear - Bonus Amount = $30
5 LANGUAGES OF APPRECIATION by Gary Chapman - Bonus Amount = $20
How does this book relate to the Allumé culture?
*
Your answer
What are three things you learned from reading this book?
*
Your answer
What are three actions you can take in the next week to put into practice what you learned from this book?
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
