Group and Role Information Survey
Please provide details about your group affiliation and your role within the group.
Group Name
*
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
What is your role in the group?
*
Please Select
Leader/Coordinator
Member
Secretary/Recorder
Treasurer/Finance
Advisor
Other (please specify)
Briefly describe your main responsibilities in this role.
*
Type of Group
*
Please Select
Project Team
Committee
Club
Department
Task Force
Other
How long have you been a member of this group?
*
Please Select
Less than 6 months
6 months to 1 year
1-2 years
More than 2 years
Submit
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