Be Connected! Stay Connected!

1. Be Connected!

We miss you! Please let us know what you've been up to and how we can reach you. We'd like to keep you updated on Wediko programs and events.

Thank you for taking the time to complete this short form.

1. Wediko History: How are you connected to Wediko?
(Please include your NH summers, the years you worked at the Wediko School/Year-Round program and/or School-Based Services (Boston office) and feel free to include your group affiliation; or other relationship to Wediko- client, former student, client/student parent, family member of a staff person, etc)

Wediko History: How are you connected to Wediko? (Please include your NH summers, the years you worked at the Wediko School/Year-Round program and/or School-Based Services (Boston office) and feel free to include your group affiliation; or other relationship to Wediko- client, former student, client/student parent, family member of a staff person, etc)

2. My Contact Info:

My Contact Info: Name:
Company:
Address 1:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

3. How did you hear about the survey?

How did you hear about the survey? Wediko website

Annual Appeal email

Staff Alumni Facebook group

Wediko Facebook page

A friend

4. What are you doing now? Share with us your occupation and employer!

What are you doing now? Share with us your occupation and employer!

5. Please include your spouse and/or children's names.

Please include your spouse and/or children's names.

6. Interested in being more involved? Want to help us connect with others? Please include your name and best way to reach you (phone or email).

Interested in being more involved? Want to help us connect with others? Please include your name and best way to reach you (phone or email).

7. Know others who may not be on our mailing list? Please either forward them the link to this survey OR include their name and any contact information you have so that we can be in touch!

Know others who may not be on our mailing list? Please either forward them the link to this survey OR include their name and any contact information you have so that we can be in touch!