Spring 2016 Sampler Day Registration Question Title * 1. First Name Question Title * 2. Last name Question Title * 3. Will you be attending Spring 2016 Sampler Day? Yes No Question Title * 4. Email Address Question Title * 5. 5-digit Zip Code Question Title * 6. Which areas of Continuing Education programming are you interested in sampling? Arts and Music Business and Management Commercial Drivers License (CDL) Computers Craft Beer Finance and Investment Fundraising Genealogy Health and Fitness Hobby and Recreation Humanities Languages Lifelong Learning Mind, Body and Spirit Photography Project Management Real Estate Safety Training Writing Question Title * 7. Which other topics are you interested in learning more about through Continuing Education? Question Title * 8. Do you currently receive the Continuing Education schedule at your home? Yes No Question Title * 9. Please enter your mailing address if you would like to receive a schedule of Continuing Education classes. Question Title * 10. How did you hear about Sampler Day? Continuing Education website COD website Continuing Education Schedule Continuing Education email Local media Friend Other (please specify) Question Title * 11. If you would like this survey to serve as your registration for the Sampler Day event and as your entry into the raffle, please indicate your full birthdate below (Sample: Feb. 14, 1950) Done