Boys & Girls Clubs of Porter County Alumni Survey Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Maiden name Question Title * 4. Which Club did you attend? Duneland South Haven Portage Valparaiso KidStop Question Title * 5. What years did you attend the Club? (Ex: 2004-2009) Question Title * 6. Home Address: Question Title * 7. Do you give permission to receive mailings? Yes No Question Title * 8. Best contact email: Question Title * 9. Do you give permission to receive e-newsletter updates? Yes No Question Title * 10. Best contact phone: Question Title * 11. How would you like to be involved with the Clubs? Volunteering Stay up-to-date on Club happenings Sponsor a Club member for only $35 a year Other (please specify) Question Title * 12. What programs would you like to learn more about? Characters and Citizenship Healthy Lifestyles Education and Career Development The Arts Sports, Fitness and Recreation Question Title * 13. How did you hear about our Alumni Club? Email Social Media Word of Mouth Friends Other (please specify) Question Title * 14. What would you like to gain from being an Alumni Club member? Question Title * 15. How did your Club experience impact your life as a child and adult? Question Title * 16. What are some of your favorite memories as a Club member? Done