Membership Form for Fall 2011/Spring 2012

Interested in Having the below form emailed to you??? Request a Membership form by emailing nwakdaa@gmail.com

NWA KD Alumnae Association

Fall 2011/Spring 2012 Membership Form and Questionnaire

Name: _________________________________________Maiden:______________________________

Address: _____________________________________________________________________________

City State: _______________________________ Zip Code: ____________________________________

Email:_______________________________________________________________________________

Phone Number:______________________________Cell Number: ______________________________

Chapter/School: ________________________________________________ Year Initiated: __________

Job Description ( For Networking purposes) _________________________________________________

Ideas for future events: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

_____ I can receive all KD correspondence through email

REMINDER: LOOK FOR US ON FACEBOOK! NWA Kappa Delta Alumnae Association

_____ I would like to receive an event reminder TEXT to the phone number above

____ I am enclosing my $30 ACTIVE membership dues for Fall 2011/Spring 2012

_____ I am inclosing my $20 INACTIVE membership dues Fall 2011/Spring 2012 ( meaning I do not wish to attend any events in Fall 2011/Spring 2012 but would like to remain on all contact lists including emails and invites)

_____ I am a 2011 graduate and wish to join for FREE!

I am enclosing an additional $_________ to help with senior induction gifts.

Please mail your membership form and check payable to:

NWA KD AA

Attention: Stephanie Chism, Membership Chair

5529 E. Saddleridge Dr. |Fayetteville, AR 72703

We want to serve you!!! Please let us know what activities you would like to see the alumni association participate in by marking any of the ideas below. Select as many as applicable, and indicate if you would be interested in coordinating that activity.

_____ Book Club _____ Coordinator

_____ Playgroup _____ Coordinator

_____ Happy Hour _____ Coordinator

_____ Couples Dinner _____ Coordinator

_____ Lunch Bunch _____Coordinator

_____ Other: ______________________________________________________

The best time for me to meet is:

_____ week night _____ week day _____ weekend

Current Officers of the NWA Kappa Delta Alumnae Association

Co Presidents: Ashley Lamb and Deidre Leonard

Treasurer: Stephanie Chaney

Membership Chair: Stephanie Chism

Philanthropy Chair: Misty Bolton

Want to get involved??? Let us know how by marking any applicable items below!

_____ AA Planning Committee/Board ( Meets approximately 3 times a year)

_____ AA Philanthropy Committee Chaired by Misty Bolton-Samuels

_____ AA Membership Committee – Chaired by Stephanie Chism

_____ Shamrock Chair (Annual Event in March)

_____ Senior Induction Chair ( Annual Event end of Spring semester)

_____ Public Relations Chair ( Assists in Facebook, gmail, and blog updates)

_____ I am interested in being on House Corp

_____ I am interesting in being on CAB

Would you like for your contact information to be included in a AA directory (which will be distributed to all dues-paying members via email)?

_____ Yes _____ Yes, but please exclude ___________________________________

_____ No