CONTACT INFORMATION

Name:

SUMMER ADDRESS

  
Street Address:
City:
State:
Zip Code:
Telephone:

WINTER ADDRESS

  
Street Address:
City:
State:
Zip Code:
Telephone:
   
Cell Phone:
E-mail:
What Phone number should we use to contact you?

How do you prefer to be contacted?

 

MEMBERSHIP OBJECTIVES

 As a member of the organization we would like to ensure that your membership objectives are being fulfilled. Please indicate your goals.

1. I am interested in the Certified Shellfish Gardener Program

(structured classes and certification test)
2. I want education about raising shellfish
(my level of knowledge is 1=low, 4=advanced)
3. I want to participate in raising shellfish
(my level of knowledge is 1=low, 4=advanced)
4. I want education on environmental impacts to the bay
(my level of knowledge is 1=low, 4=advanced)
5. I want to educate others about environment impacts to the bay
(my level of knowledge is 1=low, 4=advanced)
6. I want to help improve water quality in the bay
7. I want education on shell fishing in the bay
(best times, tides, locations)
8. I want to socialize and participate in social events
9. Other (please list)

 

EXPERIENCE

In addition to growing the shellfish, ReClam The Bay needs organizational and outreach activities. You are not obligated to serve. We just want to know your experience. (check all that apply)

1. Classroom Teaching

2. Public Speaking

3. Written Communication (email to members, items for the web)

4. Web or Document research

5. Sales

6. Carpentry/Construction

7. Marine Science

8. Environmental Science

9. Data Collection

10. Report Creation

11. Web Design

12. Database Design

13. Photography

14. Finance

15. MS Word – Do you have access to the software?

16. MS PowerPoint - Do you have access to the software?

17. MS Excel - Do you have access to the software?

18. MS Access Database - Do you have access to the software?

19. Other – Please list

 

2008 ACTIVITY

1. Please check the membership activity level you plan on for 2008.

2. I will not have time to volunteer, but want to be kept on the mailing list for:
3. Availability (check all that apply)  

Daytime (8:00am to 6:00pm)
Mon Tue Wed Thur Fri Sat Sun

 

Evening (6pm to 10:00pm)
Mon Tue Wed Thur Fri Sat Sun

 

AREAS OF INTEREST for Volunteer Hours

(Identify by priority, 4 = most interest, 1 = least interest. You are not obligated to these activities; we just want to know your level of interest. Enter all that apply)

1. Upweller Maintenance

2. Upweller Construction Activities

3. Upweller Data Collection Activities

4. Screen Maintenance

(cleaning screens in the bay)

5. Planting of Seed

6. Education K – High School

7. Education Adults/ Families

(Community/ Fairs/ Festivals)

8. Fundraising General

(Fairs/ Festivals)

9. Fundraising –- obtaining Giant Clam sponsors

10. Fundraising Local Business

(obtaining locations for Sticker/ T-shirt sales)

11. Fundraising Foundation Grants

12. Grant Writing

13. Writing Educational Materials

14. Letter Writing

15. Report Creation

(shellfish and environmental elements)

16. General Administrative Activities

17. Photography

18. Photography Maintenance

(logging and filing of pictures)

19. Other Reporting

(i.e., Financial Reporting/ Event Tracking Reporting)

 

Thank you for taking the time to provide this valuable information for our membership database.

 

Please click "Submit" below to complete this process.