Fillable Member Experience Interest Survey GENERAL INFORMATION To our (Knights of Columbus)

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Member Experience Interest Survey GENERAL INFORMATION To our (Knights of Columbus)

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Name: ______________________________________________________________________________________________
E-Mail: ______________________________________________________ Phone: _________________________________
Marital Status:   Married    Single    Widower  If Married, Wife’s Name: __________________________________
Number of Children:  Boys _____  Girls _____
Occupation: ________________________________________ Parish/Church: ______________________________________
Hobbies/Interests: _____________________________________________________________________________________
How much time do you think you can contribute to council activities?
1 hour per month    1 hour per week    Multiple hours per week
What are some ideas you have for new or improved programs? __________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Would you be able to assist in leading any new or improved program?   Yes    No
What do you hope for your membership in our council? _________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Please submit this form to your Grand Knight
To our new and current members, please know that we value your judgment, we appreciate your opinions, and we rely on your
participation for the continued success of our council and parish. Our Knights of Columbus council conducts a variety of programs
– activities where you can personally apply your talents and fulfill your ambitions. In an effort to ensure a great Knights of Columbus
council experience, we ask that you complete the following survey. Thank you and Vivat Jesus!
1842 9/20
FAITH
 
General Interest in
Programs Designed for
Faith Formation
 Into the Breach
 Marian Icon Prayer
 Build the Domestic Church
Kiosk
 Rosary
 Spiritual Reflection
 Holy Hour
 Sacramental Gifts
 Refund Support Vocations
Program (RSVP)
 Other:
_______________
______
_________________
FAMILY
 
General Interest in
Programs Designed to
Strengthen Families
 Family of the Month
 Keep Christ in Christmas
 Family Fully Alive
 Family Week
 Consecration to the Holy
Family
 Family Prayer Night
 Good Friday Family
Promotion
 Food for Families
 Other:
_______________
_______________________
COMMUNITY
 
General Interest in
Programs Designed for
Community Service
 Leave No Neighbor Behind
 Disaster Preparedness
 Free Throw Championship
 Soccer Challenge
 Helping Hands
 Catholic Citizenship Essay
Contest
 Coats for Kids
 Global Wheelchair Mission
 Habitat for Humanity
 Other:
________________
_______________________
LIFE
 
General Interest in
Programs Designed to
Create a Culture of Life
 Christian Refugee Relief
 Silver Rose
 Pregnancy Center Support
 Novena for Life
 Mass for People with
Special Needs
 March for Life
 Special Olympics
 Ultrasound
 Other:
________________
_____________________
_____________________
GENERAL INFORMATION
FAITH IN ACTION PROGRAMS
Please list your preferences for those Faith in Action programs you would be interested in volunteering at or attending.
Member Experience
Interest Survey
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Member Experience Interest Survey GENERAL INFORMATION To our (Knights of Columbus)

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Completed 6 February 2021

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