Become a Volunteer

Membership Survey

Please fill out this survey to help us better serve you.

Receive a 1, no, 2-year General Membership
for your participation (a $100 value), unlimited access to the online Docu-Tour during your membership year and one (1) invitation to attend the Grand Opening Ceremony of the expanded Museum (Date TBA).

You will also receive the chance to receive one of ten, $100 gift cards.

All questions must be filled out.

This is also a newsletter sign up form.

Full Name

Address

City

State

Postal code

Email *

Phone *

Demographic Information

Age

0-17

18-24

25-34

35-44

45-54

55-64

65-74

75 or older

Ethnicity

American Indian

Asian

Black or African-American

Hispanic Latino or Spanish Origin

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

White

Other

Gender

Male
Female
Transgender
Non-binary
Prefer not to answer
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Education

Less than HS Diploma

High School

Some College

Bachelor's Degree

Graduate Degree

Higher Education

Current Employment

Student

Unemployed (looking for a job)

Unemployed (not looking for a job)

Self employed

Full-time employment

Part-time employment

Retired

Household Income

$0-$24,999

$25,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000 - $149,999

$150,000 or more

Marital Status

Single

Married

Divorced

Widowed

Are you the descendant of a Pullman Porter?

Yes

The Museum

Have you ever visited the A. Philip Randolph Pullman Porter Museum?

Yes

What children's activities do you want to see from the Museum?

If you were in charge, what changes would you make to the Museum? This could be programming, exhibits, online or offline suggestions.

What is your favorite part of the A. Philip Randolph Pullman Porter Museum?

May we contact you to discuss your answers?

Yes

Final Question

Is there anything else you would like us to know?

Survey Terms

I accept the terms and conditions.

Terms of the membership and gift card giveaway.

Email: pullmanhealthfestival@gmail.com

Membership Survey

Please fill out this survey to help us better serve you.

This is also a newsletter sign up form.

Demographic Information

Final Question

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