You must answer all questions thoroughly to qualify for the raffle. 

* What is your first name?

* What is your last name?

* How do you prefer to be addressed?

* Please give us your complete contact information:

* What is your preferred telephone contact information?

* What is your date of birth? (MM/DD/YYYY)

* Who, if anyone, currently lives with you in your household? Please include permanent residents only. (Please select all that apply.)

* Do you have any children under 18 living with you?

* If you have any children living with you at least part of the year, please list their names in the appropriate age group.  (Include last names if different from yours.)

* How do you and other members of your household identify? (You may answer more than one.)

* Do you consider yourself (or your household) a member or active participant at any of the following Synagogues:

* What do you consider to be your primary career?

* How often do you want to hear from the Federation?

* What types of Federation programs do you want to be contacted about?

  No More Than Weekly Monthly Quarterly Never
Children & Youth Programs (Camp Ideal, BBYO, Jr. Youth Group, School Vacation Days, etc.)
Young Adult Programs (Dor Hadash, Bar Nights, Giving Circles, etc.)
Family Programs (PJ Library, Purim Carnival, Family Outings, etc.)
Adult Programs (Community Celebrations, Forever Learning, etc)
Cultural Arts Programs (Art Exhibits, Film Festival, Performances, etc.)
Academic Programs (Classes, Yom Iyyun, Lectures, etc.)
Travel Opportunities (Day Outings, Domestic Trips, Missions and International Travel, etc.)
Volunteer Opportunities (Committees, Event Planning, Fundraisers, etc.)

* How do you prefer hearing about the Federation's programs? (Select all that apply.)

* In a typical day, how likely are you to use social networking websites?

* How would you prefer to receive the Federation's Monthly Our Community News Newsletter? 

* How often would you prefer to receive the Federation's Our Community News Newsletter?

* Please let us know how often you read the different sections of Our Community News.

  Always Sometimes Never
The Front Cover
From the Desk of the Executive Director
Caring Connections
Jewish Family Services Section (Food Pantry, Lunch & Learn, etc.)
Israel Shlicha Section
Youth & Children Program Section (BBYO, Camp Ideal, PJ Library, etc.)
Adult Program Section (Our Art Gallery Updates, Forever Learning, Book Club, etc.)
Member profile by Gabrielle Robinson
Community Calendar
The Back Cover

* Do you have any other comments, questions, or concerns?

T