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CFM INTENT TO RENEW FOR 2012-2013

Leaders, please fill out this form regarding the upcoming program year.

 

CFM INTENT TO RENEW FORM

Current Leader(s)
Salutation* :
 
His First Name* :
His Last Name* :
 
Her First Name* :
Her Last Name* :
 
Address Line 1* :
Address Line 2:
City* :
State* :
Zip Code* :
Country* :
 
Phone* :  -  - 
E-mail* :
Alternate E-mail :
 
Affiliated with a parish?* : Yes No
Parish :
Parish Address Line 1 :
Parish Address Line 2 :
Parish City :
Parish State :
Zip Code :
Country :
 
Parish Phone :  -  - 
Parish E-mail :
Diocese :
 
Pastor First Name :
Pastor Last Name :
 
1. Are you the designated leader for your CFM group for 2012-2013?*
If yes, skip to 6:		 Yes No
 
2. Is this a planned transition? : Yes No
 
3. Has a new leader been designated? : Yes No
 
4. If not, do you anticipate difficulty finding a new leader? : Yes No
 
5. New Leader(s)
Salutation* :
 
His First Name* :
His Last Name* :
 
Her First Name* :
Her Last Name* :
 
Address Line 1* :
Address Line 2:
City* :
State* :
Zip Code* :
Country* :
 
Phone* :  -  - 
E-mail* :
Alternate E-mail :
6. How many families/members did your group have in 2011-2012?* :
 
7. How many families/members do you anticipate in 2012-2013?* :
 
8. Which social inquiry book did you use in 2011-2012?* :
 
9. How often does your group meet? (e.g. monthly)* :
 
10. Where does your group meet? (e.g. parish, homes)* :
 
11. Do children attend your group's meetings?* : Yes No
 
12. If children are at your meetings, do you provide childcare?* :
 
We are interested to know about the current makeup of your group:
 
13. Do you have any members who are widowed?* : Yes No
 
14. Do you have any members who are divorced and not remarried?* : Yes No
 
15. Do you have any members who are single and never married?* : Yes No
 
16. In thinking about all of the CFM groups at your parish, what percent of the members fall into each of the following age groups (using your best judgment)* :
Twenties :
Thirties :
Forties :
Fifties :
Sixties and Above :
 
17. In all the CFM groups at your parish, what percent of the families have children in the following age groups (roughly)* :
Preschool children (5 yrs old and younger) :
Grade School :
High School :
College :
Adult :
 
18. Comments. Please use this space to give more input regarding any of the questions above. Also, is there any group need or concern you would like the CFM national office to address? :
 
Captcha. Prevents spam submissions. Note: If not entered or entered incorrectly, you will get a server error. Press the back button on your browser to get back to the form, request a new captcha, key it and resubmit.* :

* = Required Entry

 

 

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