Interest Survey - National Council of Jewish Women, Utah

Interest Survey

NCJW of Utah wants to know what interests you! Please fill out the following interest survey. NCJW appreciates your ideas and concerns.

This does not imply obligation. Questions? Contact Rochelle Kaplan at (801) 942-6226.

Name
Address	Apt/Bldg #: City: State: Zip:
Phone Number
Email Address
Profession
Prefer to be contacted by:	Phone Email
Participation	I'm interested in participating in the following:
Committees	Communication: newsletter, correspondence, web page Financial Fundraising Legislative/Political Membership: outreach, updating info Programming: fun, philanthropic, educational
Activities/Events	Arts Brunch YWCA Halloween Party Jewish Arts Festival Seniors’ Chanukah Luncheon Shalom/Salaam/Tikkun Olam Project Ski Day Seniors’ Passover Seder Race for the Cure Women’s State Legislative Council Film Club
NCJW National Initiatives	Plan A for Contraceptive Access Benchmark (Campaign to Save Roe & protect reproductive choice) StoP: Preventing Domestic Violence Promote & Protect the Vote Israel Programs (RIFIE or Research Institute for Innovation in Education, Women and Gender Studies Program at Tel Aviv University, Women to Women and Yad b’Yad Israel Granting Program to address children’s literacy, empowerment of women and victims of terror)
NCJW National Issues	Refugees Immigration Voting/Elections Education Health Care Death Penalty Separation of Church & State Gun Control Environment Child Care Senior Care
Expertise	Bookkeeping Clerical Education/Training Event Planning Public Speaking Public Relations Web Design Writing
How did you learn about NCJW-Utah Section?	Event Friend Website/Internet Mailing Transferred from another section Newspaper Article Advertisement Other
Suggestions/Ideas	Please let us have your ideas of what other kinds of activities interest you. Book Club Hiking Club Utah Jazz Games Other: Please list here.
Time Commitment	Interested in “one-shot” activity with a 2-3 hour time commitment Time I can spend on NCJW activities each month: 0-2 hrs. 3-5 hrs. 5-10 hrs.
Leadership	Interested in taking on a leadership role in NCJW? Yes No
Reasons for joining NCJW	Friendships Community service involvement $ to help NCJW mission Advocacy Other / List the project(s) of interest.
This does not imply obligation.