Kernersville Interest Form

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Please complete and submit the following form to help TRLA understand networking needs and interests in Kernersville.

First name*

Last name*

Phone

Company name*

Position*

Is there currently a senior-related networking group within 10 miles of your organization?

Yes

I am unsure, but do not believe so.

If so, do you attend

Yes

Occassionally

If you occasionally attend, or do not attend, a senior-related networking group in your area, please share why you do not attend (i.e individual/organizational capacity, scheduling conflicts, general helpfulness of the group, or more).

If you were to attend a senior-related networking group, what would you hope this group would help you or your organization accomplish? What would be helpful to find in a networking group?

Please list 3-5 senior-related businesses who you believe would be interested and willing to join as TRLA members. This information will not be used for solicitation of members, but rather to discern number of unique program participants.

Of the below options, when would you most likely be available? Select all that apply.

First Tuesday of Every Month from 8:30am-10:00am

Third Tuesday of Every Month from 8:30am-10:00am

None of the Above

TRLA is a membership based organization. Annual dues are $150.00 for non-profits and $200.00 for for-profit organizations. Would your organization be willing and able to pay these fees?

Yes

TRLA is a volunteer-led organization. Are there any areas where you or your organization could see yourself volunteering? Select all that apply.

Service Project Coordination

Networking Event Planning

Educational Speaker Coordination

Social Media Management

Newsletter Management

Website Management

Location Host

Breakfast Sponsor

We love the mission of TRLA and will choose to support with our membership attendance and dues.

Yes, subscribe me to your newsletter.

TRIAD RETIREMENT LIVING ASSOCIATION

TRLA
P.O. Box 18422
Greensboro, NC 27419

Greensboro Meeting: 2nd Tuesday of every month, 8:30am-10:00am

Alamance Meeting: 4th Tuesday of every month, 8:30am-10:00am

Locations can be found under the events tab.

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