Black Alumni Reunion 2010 - Interest Survey

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1. First Name:

First Name:

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2. Last Name:

Last Name:

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3. Class Year:

Class Year:

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4. E-mail Address:

E-mail Address:

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5. Your state of residence:

Your state of residence: State:

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6. How likely are you to attend the Black Alumni Reunion to be held on Brown's campus on October 8-10, 2010?

How likely are you to attend the Black Alumni Reunion to be held on Brown's campus on October 8-10, 2010? Very Likely

Likely

Not Likely

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7. If you are likely to attend, how many people do you expect to attend with you?

	Number of people
Adults (incl. you)	If you are likely to attend, how many people do you expect to attend with you? Adults (incl. you) Number of people
Teenagers (age 13-18 yrs)	Teenagers (age 13-18 yrs) Number of people
Children (age 12 yrs and under)	Children (age 12 yrs and under) Number of people

8. How likely are you to attend each of the following suggested reunion events?

	Very Likely	Likely	Not Likely
Career Panel (Law)	How likely are you to attend each of the following suggested reunion events? Career Panel (Law) Very Likely	Likely	Not Likely
Career Panel (Medicine)	Career Panel (Medicine) Very Likely	Likely	Not Likely
Career Panel (Liberal Arts)	Career Panel (Liberal Arts) Very Likely	Likely	Not Likely
Career Panel (Engineering)	Career Panel (Engineering) Very Likely	Likely	Not Likely
Career Panel (Finance)	Career Panel (Finance) Very Likely	Likely	Not Likely
Seminar - Power Networking	Seminar - Power Networking Very Likely	Likely	Not Likely
Seminar - Starting Your Own Business	Seminar - Starting Your Own Business Very Likely	Likely	Not Likely
Seminar - Getting Your Child Into Brown	Seminar - Getting Your Child Into Brown Very Likely	Likely	Not Likely
Seminar - Student Life Today	Seminar - Student Life Today Very Likely	Likely	Not Likely
Seminar - History of Activism at Brown	Seminar - History of Activism at Brown Very Likely	Likely	Not Likely
Seminar - How To Get Involved with IPC	Seminar - How To Get Involved with IPC Very Likely	Likely	Not Likely
Women's Support Circle	Women's Support Circle Very Likely	Likely	Not Likely
LGBTA Support Circle	LGBTA Support Circle Very Likely	Likely	Not Likely
Recent Graduate Mixer	Recent Graduate Mixer Very Likely	Likely	Not Likely
BBQ	BBQ Very Likely	Likely	Not Likely
Spades Tournament	Spades Tournament Very Likely	Likely	Not Likely
Tailgating Party	Tailgating Party Very Likely	Likely	Not Likely
Home Football Game	Home Football Game Very Likely	Likely	Not Likely
Musical Performance by Brown students	Musical Performance by Brown students Very Likely	Likely	Not Likely
Party at Rites & Reason	Party at Rites & Reason Very Likely	Likely	Not Likely
Awards Ceremony and Dinner	Awards Ceremony and Dinner Very Likely	Likely	Not Likely
Walking Tour of Campus	Walking Tour of Campus Very Likely	Likely	Not Likely
Brunch with President Ruth Simmons	Brunch with President Ruth Simmons Very Likely	Likely	Not Likely

Other (please specify)

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9. Would you be interested in participating as a speaker in a panel discussion?

Would you be interested in participating as a speaker in a panel discussion? I am not interested in participating as a speaker

Career Panel - Law

Career Panel - Medicine

Career Panel - Liberal Arts

Career Panel - Engineering & Sciences

Career Panel - Finance & Business

Career Transitions/Power Networking

Getting Your Child Into Brown

History of Activism by Black Students at Brown

Other (please specify)

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10. Would you be interested in volunteering for a planning committee?

Would you be interested in volunteering for a planning committee? I am not interested in volunteering

Yes - Panel Discussion Planning

Yes - Social Event Planning (Parties, Receptions, BBQ, Spades Tournament)

Yes - Sponsorship

Yes - Coordination of Gift Bags & Commemorative Reunion Booklets

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11. Would you be interested in volunteering on-site during the reunion weekend?

Would you be interested in volunteering on-site during the reunion weekend? I am not interested in volunteering

Event set-up

Event check-in

Photography

Videography

Other (please specify)

12. If you are interested in providing sponsorship, what type of sponsorship would you be willing to provide?

If you are interested in providing sponsorship, what type of sponsorship would you be willing to provide? I am not interested in providing sponsorship

Individual donation and any available company match (monetary donation of $100 or more)

Corporate sponsorship (monetary donation of $1,000 or more)

Corporate sponsorship (alcoholic beverages)

Corporate sponsorship (gift bags)

Corporate sponsorship (promotional items)

Other (please specify)

13. If you indicated that you are interested in volunteering or sponsorship and would prefer to be contacted by phone, please enter your number below:

If you indicated that you are interested in volunteering or sponsorship and would prefer to be contacted by phone, please enter your number below:

14. If you have any additional comments or suggestions, please indicate below:

If you have any additional comments or suggestions, please indicate below: