IREA Survey - (Antwerp, Philly Primary, Theresa Teachers & TAs)

1. Name (first and last)

Name (first and last)

2. Please share your home e-mail so we can update our database.

Please share your home e-mail so we can update our database.

3. Please share your cell phone number so we can update our database.

Please share your cell phone number so we can update our database.

4. Please type your address below so we can check our database accuracy.

Please type your address below so we can check our database accuracy.

5. Please mark the building(s) at which you work.

Please mark the building(s) at which you work. Antwerp Primary

Calcium Primary

Evans Mills Primary

IR High School

IR Intermediate School

IR Middle School

Philadelphia Primary

Theresa Primary

6. If you checked more than one building (on the above question), please tell us which building you consider your "home building."

If you checked more than one building (on the above question), please tell us which building you consider your "home building."

7. The IREA is hosting a 4-person captain-and-crew golf tournament & social event after school on Friday, 9/14/12, to raise money for Strides for Breast Cancer. Please check any/all areas below which might interest you.

The IREA is hosting a 4-person captain-and-crew golf tournament & social event after school on Friday, 9/14/12, to raise money for Strides for Breast Cancer. Please check any/all areas below which might interest you. play golf

work registration (3:45 - 4:10)

sell raffle tickets

come early to kick off our first IREA social event

stay to celebrate with the golfers as they return

8. We will also be selling raffle tickets to raise money for the Indian River Scholarship Fund. Would you like to:

We will also be selling raffle tickets to raise money for the Indian River Scholarship Fund. Would you like to: Sell tickets in your building

Sell tickets in your community

Buy tickets

9. We have a group of IREA members who will be marching in the Massena Labor Day Parade. Are you interested in attending this event?

We have a group of IREA members who will be marching in the Massena Labor Day Parade. Are you interested in attending this event? yes

yes, if bus transportation is available

10. Are you interested in serving on a Political Action Committee? (Kevin McCarthy will serve as chair.)

Are you interested in serving on a Political Action Committee? (Kevin McCarthy will serve as chair.) yes

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IREA Survey - (Antwerp, Philly Primary, Theresa Teachers & TAs)
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