NSS WikiCHAPTER MEMBER INTEREST SURVEY Can you volunteer some of your skills, time and energy to help educate the public about space development? You can start by letting us know where your interests are. Thanks! Name: _____________________________ Occupation: ________________________ Address: _______________________________________________________________ ________________________________________________________________________ Tel (H): ______________________________ Tel (W): _________________________ Best place to call: (H) _____ (W) _____ Best time: ___________________________ Email: ________________________________ I can volunteer on day(s): __________________________________________________ SKILLS EXPERIENCE Public Relations __________________________________________________________ Conference Organizer______________________________________________________ Publications______________________________________________________________ Recruiting_______________________________________________________________ Fund Raising_____________________________________________________________ Graphics/Artwork_________________________________________________________ Photography_____________________________________________________________ Audio-Visual Production ___________________________________________________ Chapter Officer___________________________________________________________ Phone Tree______________________________________________________________ Political/Legislative_______________________________________________________ Other__________________________________________________________________