Fill out this survey below to express your interest in book club.

* 1. What is your first name?

* 2. What is your last initial?

* 3. What is your student I.D. number?

* 4. Rank the following genres: 1 being your favorite and 5 being your least favorite.

* 5. Every book we read in Book Club is accessible for free through the Pines system of GA (the public library). Will you be able to visit a library, check out these books, and participate in book club?

* 6. Book Club tries to have an outing every year. If it is located in a convenient area, would this be something you in which you would be interested?