Komité Ayiti Membership Application Question Title * 1. What is your first name? Question Title * 2. What is your last name? Question Title * 3. When is your birthday? Date Date Question Title * 4. At what email address would you like to be contacted? Question Title * 5. Which of the following best describes you? I am of Haitian decent I am not of Haitian decent but have interest in the Haitian community Question Title * 6. What languages do you speak? English Creole French Other Question Title * 7. I am interested in the following activities: Social Events (Happy Hour, Kompa Night etc) Creole Classes Community Outreach Events Cultural Events (Flag day, Indpendence day etc) Question Title * 8. I would like to be involved in the following Komité Ayiti Committee(s): Social Committee Finance Committee Outreach Committee Question Title * 9. What suggestions or ideas do you have for future events and activities of Komite Ayiti? Done