Perkins School for the Blind: Survey

Perkins Alumni Survey

Alumni are Perkins past, present and future and we want to hear from you. As an important member of Perkins family, we want to be able to better serve you and to keep you informed on Perkins news.
Please share your thoughts, opinions and ideas with us! You can also contact Perkins at Alumni@Perkins.org with questions, comments, suggestions and to give us your updated address, phone number and email.

1.

Please provide your contact information.


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province:	State / Province: Required
*	ZIP / Postal Code: Required
	Phone Number:
	Yes, I would like to receive e-mail from Perkins School for the Blind
	Yes, I would like to receive postal mail from Perkins School for the Blind
	Remember me.

*2.

Is the address you listed above your home or business address?

3.

Please indicate your last name while you were a student at Perkins, i.e. maiden name.

*4.

What year(s) were you at Perkins?

*5.

How would you prefer to hear from us?

6.

Please tell us what you would like to see in the Alumni Newsletter, and share any stories or information you have that we can include in the Alumni Newsletter, scheduled to come out in the spring of 2008.

7.

Please share with us your thoughts, ideas or suggestions you have on how Perkins or the Alumni Association can better assist you.

*8.

Are you presently a member of the Perkins Alumni Association?

9.

If you answered "no" to question number two, would you like more information about becoming a member?

10.

If you were a member of the Alumni Association and left, why did you leave?

11.

Would you like to see the Alumni Association coordinate class reunions periodically?

12.

Would you attend smaller local educational events if they were offered by Perkins or the Alumni Association?

13.

Would you like to have a directory of Perkins Alumni Association members contact information for a nominal charge?

14.

How can the Perkins or the Alumni Association serve you better?

15.

What, if any, changes would you like to see in the programming for Alumni Weekend?

16.

Please complete the following sentence: I would join the Perkins Alumni Association if...

17.

What changes, if any, would you like to see in the Perkins Newsletter?

18.

Would you be interested in volunteering to help Perkins in any of the following ways?
Please make up to 6 selections from the choices below.

	Mentoring a current Perkins student?
	Speaking to the public on behalf of Perkins (Speaker's Bureau)?
	Hosting a summer work intern at your job?
	Speaking to the parents of a child who is blind?
	Participating in an advocacy group to work on political issues that effect blindness and disabilities education programs?
	Working on a committee to improve job opportunities for Perkins graduates?

19.

Would you be willing to serve as a "Class Agent" for your era of classes at Perkins? A Class Agent would work to contact members of a particular class or classes to get updated address, phone and email information. In addition Class Agents would speak with fellow alumni about their thoughts and ideas on how we can better serve you.

20.

Would you like to subscribe to any of the following eNewsletters offered by Perkins?

	Braille & Talking Book Library Communications
	Braille & Talking Book Library Communications > Digital Talking Book Information
	Braille & Talking Book Library Communications > General Anouncements
	Braille & Talking Book Library Communications > PerKIDS eNews
	Braille & Talking Book Library Communications > Recommended Reads
	Perkins Online Community > Perkins Insight eNewsletter
	Perkins Online Community > Perkins Insight eNewsletter - Large Text Version