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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