KC Girlfriends Book Club
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              Membership Application

              This application process is intended for our members to get know new members better. It is also to be certain that new members are aware of what is to be expected when joining our book club. Please be sure that you can meet the expectations of the book club before you decide to join. You will also receive an email from TaNisha once your application has been received. Thank you for your interest!

              Today's Date
              Name:
              Email Address:
              Please confirm your email address:
              Cell number:
              What is your occupation?
              What is your favorite book?
              Who is your favorite author?
              What genre do you like to read? Choose one or more answers. Romance
              Christian Fiction
              Sci-Fi
              Street Lit
              Urban Lit
              Mystery
              Autobiography
              Self-help
              Memoirs
              Other
              How many books do you read each month for enjoyment? 0-1
              2-3
              4-5
              6+
              How did you hear about our book club? Facebook
              Twitter
              KC Soul
              MySpace
              KC Girlfriend Member
              web search
              Other
              Tell us why you would like to become a member of the KC Girlfriends Book Club?
              What do you expect to gain from joining our book club?
              Do you feel that you can keep up with the required reading each month? yes
              no
              Do you feel that you can commit to attending meetings on the regular basis? yes
              no
              Would you be able to attend events outside of book club meetings? yes
              no
              Would you be willing to help plan literary events? yes
              no
              How much time do you feel that you have for yourself outside of your obligations? none
              very little
              varies
              a lot
              What is your marital status? Married
              Single
              Divorced
              Widowed
              What is your age range? 21-29
              30-39
              40-49
              50+
              Do you have any children? yes
              no
              Do you have any hobbies?
              Do you want to share anything else about yourself with us?

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