MEMBER SURVEY (please print using your web browser print command)
The Lifelong Learning Institute (LLI) is a volunteer organization which depends on its members to teach courses, serve on committees and carry out administrative functions. Please fill out this form & tell us how you would like to participate. Thank you.
NAME_____________________________________________________________________________________________________
ADDRESS___________________________________________________________________________________________________
PHONE________________________________________EMAIL_______________________________________________________
Career Fields _______________________________________________________________________________________________
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What courses, classes, lectures or activities might you be willing to teach or coordinate as part of an LLI program? __________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
In which of the following non-classroom activities (committees & support groups) would you be willing to participate as a needed volunteer? Please check all that you are interested in.
r plan classes, find class leaders r proofread publications
r publicity/promotions r special event arrangements
r locating classroom space r registration
r photography r membership
r archives r budget & finance
r recruiting Forum speakers r newsletter production
r mailings r website management
r hospitality
Do you know of or belong to any organization(s) that would be willing to make classrooms or other meeting facilities available to LLI for classes & activities? If yes, please indicate name of the organization or facility available & point of contact.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Are you interested in any of the following special interest groups on a regular basis? Please check all that you are interested in.
r group discussion on various subjects r theater
r bridge r government & politics
r financial forum r other______________________________
Your hobbies, favorite pastimes, leisure pursuits____________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Any other comments
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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Please return the form to:
Lifelong Learning Institute
Division
of Continuing Education, NVCC-Manassas
6901 Sudley Road, Manassas, VA 20109
Questions?
Call 703-361-6310
Check out our website at www.LLI-Manassas.org
Thank you for completing this LLI survey. It will certainly help LLI to serve you better.