Louisville Urban Immersion Survey

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* 1. Name:

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* 2. Trip Date:

Date / Time

Date

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* 3. Group Name (if applicable):

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* 4. Please share the highlight of your experience.

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* 5. Suggestions for future groups to improve their experiences.

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* 6. How can we help you stay involved:

Would like a staff member to give a presentation to an organization, school, church, etc.

Assist in fundraising efforts

Receive an invitation to our Annual Fundraising Breakfast in Louisville in October

Consider a trip to our other locations (Appalachia, Belize, Louisville or Nicaragua)

Contact me: My company will match funds/volunteer hours

Other (please specify)

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* 7. If you live in the Louisville area, are you interested in any of the following opportunities? (Check all that apply)

Attend a one-hour interactive Explore the Mission tour to learn more about Hand in Hand and its work in all its locations (can invite others interested).

Volunteer as a site leader (working with small groups of volunteers on home repairs)

Assist with site evaluations and make suggestions

We regularly have small maintenance tasks where we need skilled trades. Do you have a skill set you can share? (plumber, electrician, etc.) Please specify in #9.

Volunteer for registration/greeter when groups arrive

Prepare a meal for a group

Housecleaning after groups in the retreat center

Event Volunteer (Trivia Night, fundraising breakfast, etc.)

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* 8. What is the best way to reach you for follow up if you answered questions 6 & 7?

Phone

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* 1. Name:

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* 2. Trip Date:

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* 3. Group Name (if applicable):

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* 4. Please share the highlight of your experience.

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* 5. Suggestions for future groups to improve their experiences.

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* 6. How can we help you stay involved:

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* 7. If you live in the Louisville area, are you interested in any of the following opportunities? (Check all that apply)

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* 8. What is the best way to reach you for follow up if you answered questions 6 & 7?

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* 9. Other comments