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WIN Membership Survey
You Belong - So Let's Make It Feel Like Home!
WIN is all about the members, so we would
love
for you to provide input on what you would like to see at WIN this year.
Thank you!
*
1.
What is your first name?
(Required.)
*
2.
What is your last name?
(Required.)
*
3.
What is your (state) email address?
(If you do not have a state email address, please add your preferred email)
(Required.)
4.
What is your contact number?
(Optional)
*
5.
What is your agency's acronym? (DHSH, DES, EST, DOT etc.)
If you do not work for a WA state agency, please enter PRIVATE or NON-PROFIT.
(Required.)
6.
Do you have any suggestions about presentations or topics to include in our monthly
general membership
meetings?
7.
Would you like to present or share your experience at WIN general membership meeting?
Yes
No
8.
If you selected Yes to the above question, please add your presentation topic.
9.
Our members make us strong, are you interested in volunteering for one of our sub-committees?
Membership Outreach
Career & Professional Development
Advocacy
Special Project
Social Media Coordination
Mentoring Program
If you are interested in our Mentoring Program, why not take this
survey
10.
What is the best way to connect with you?
Email
Phone
11.
Do you have any additional comments or suggestions you would like to add?
