Moose Membership 2011 Survey

Application to join the

Maine Organization Of Storytelling Enthusiasts

To become a member of Moose you only need to be enthusiastic about Storytelling.
Declare to anyone that you are a Moose and you are. There are no dues and no other requirements.
Here are several ways you can share your enthusiasm for Storytelling and stay connected to other storytellers. You can choose the level of your involvement.

1. Contact information:
(Answer Required*)

Contact information: (Answer Required) Name:
Address:
City/Town:
State:
*ZIP:
Country:
*Email Address:

2. If you wish to have your membership to be included with our NSN affiliate Membership than we will need your permission to send the information above to NSN.
Please check the NSN box to indicate we have that permission.

If you are a not a member of the Moose List serv please check that box and we will have you added so you can receive update information on events and storytelling opportunities. The list serv at times may become too active for our listening audience.

We have members throughout Maine starting local guilds and storytelling venues. With your permission by checking the referral box we can share your information with our membership to connect you with performances, guilds and venues in your area.
(please check all that apply)

If you wish to have your membership to be included with our NSN affiliate Membership than we will need your permission to send the information above to NSN. Please check the NSN box to indicate we have that permission. If you are a not a member of the Moose List serv please check that box and we will have you added so you can receive update information on events and storytelling opportunities. The list serv at times may become too active for our listening audience. We have members throughout Maine starting local guilds and storytelling venues. With your permission by checking the referral box we can share your information with our membership to connect you with performances, guilds and venues in your area. (please check all that apply) Yes I would like to become a NSN affiliate member of Moose. Please send my information to NSN.

Yes please add me to the Moose List-Serv for performing, events, updates and professional development.

Please share my information with your Maine guilds and venues in my areas.

3. I am a performer interested in:
(please check all that apply)

I am a performer interested in: (please check all that apply) Workshops and personal development.

Calls for performers

coaching and input from others

Sharing my talent as a coach or mentor to help others

Volunteering my talent to perform with the Moose herd to promote Storytelling

Volunteering behind the scenes, publicity and or production

Other (please specify)

4. I am a listener and I am interested in:
(please check all that apply)

I am a listener and I am interested in: (please check all that apply) Events and performances in my area.

Events and performances anywhere in the State of Maine

Volunteering behind the scenes at events or festivals

Volunteering behind the scenes on the web or publicity

Volunteering as a videographer for events

Other (please specify)