Example Form - Nonprofit Organization Survey

Example Form: (Click here to return to the Forms page)

Nonprofit Organization Survey

We have been hard at work finding ways to improve access to information about the services available to our citizens. This survey is part of our attempt to create a thorough community resource directory that we will make available on the internet in the near future. We would like to give you the opportunity to be listed on our web site with specific details regarding your nonprofit organization's services. Individuals and businesses will easily find a comprehensive list of community resources at their fingertips.

Take a few minutes to tell us about your organization.

(NOTE: The information marked with an asterisk is required.)

Location

Name of Your Organization*

Street

City

State

Zip Code

Phone Number*

Fax Number

email Address*

Web Site URL

If you do not have an Web Site URL, would you like a free one?

yes no maybe

Personnel

Chief Executive Officer

Other Personnel

Title

Other Personnel

Title

About Your Organization

Describe your organization, such as the mission, goals, or purpose.

What days is your organization open each week?

Sunday Monday Tuesday Wednesday

Thursday Friday Saturday

What hours is your organization open?

Computers

Which statement best describes your computer access?

Are you interested in attending a free seminar for nonprofit organizations to learn about email, web sites, and internet access through KORRnet?

yes no maybe

Comments / Questions

Thanks for taking the time to fill in our survey! If you have any comments or questions to add, please use the space below.

Knoxville - Oak Ridge Regional Network

A Community of Nonprofit Organizations and Local Citizens in East Tennessee
http://www.korrnet.org

Last updated April 2003