Supporters Questionnaire
Important: Please answer all questions marked with a red asterisk (*). |
PERSONAL INFORMATION |
| Email Address: * |
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| First Name: * |
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| Family Name: * |
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| Year of your Birth: * |
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| Gender: * |
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| Country: * |
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| City/Town: * |
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| Postcode: * |
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| Phone Number: * |
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| Profession: * |
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| Single or Partnered: * |
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Children: *
(please list name, gender and year born for each one) |
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Where did you hear about Kanjini Co-Op? *
Your answer to this really helps us, thank you. |
Other: |
POTENTIAL MEMBERSHIP AND SHARES
Please Note: your answers will be treated as an indication only and not a definite commitment |
| Do you consider becoming a member of Kanjini Co-Op, and if yes when? * |
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| Is your potential membership for a Full Share OR an Introductory Share? * |
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| What percentage of that Share capital can you pay upfront (as a deposit)? * |
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| Could you help to manifest the vision by purchasing additional Investment Shares? * |
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| Do your envisage /plan to be a full year resident, part-time or a visiting member? * |
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| Do you see yourself being a resident on Kanjini Co-Op land and if yes when? * |
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SKILLS AND EXPERIENCES
(all answers in this section are optional) |
Do you have any previous experience of cooperative or communal living?
(If yes please describe briefly) |
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| What skills and trades would you wish to contribute when living on Kanjini Co-op land? |
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| Would you be willing and able to help right now to make the Kanjini Co-Op vision become a reality and if yes which skills can you offer for that? |
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| If yes, how much time can you contribute? |
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| Can you volunteer to help with any of the following tasks right now, to help make the Kanjini vision a reality? |
office work
accounting
building design
landscape design
farming design
planning applications
impact studies
advertising
other promotion
graphics work
website development
research (eg internet)
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Are there any other ways you can envision yourself supporting the Kanjini Co-Op vision?
(please use this space to also expand on your above volunteering choices) |
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| Any further comments or feedback: |
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| I would like to get access to the Kanjini Supporters & Members website * |
Yes No |
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| Please enter the code shown above: |
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| Please Note: It is vital that your e-mail address is correct - or we cannot get back to you! |
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