Collected Forms Display Test Page – Jan 2019


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Contact Form:

How many times have you attended the Annual Gathering of Pacific Yearly Meeting?
1st time2-5 times6-10 times11-15 times16-20 times21+ times

What is your age?
13 or under14-1819-3536-6061-7980+

Select one response or N/A (Not Applicable) for each of the following questions:

The registration process was satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I liked Claremont McKenna College as a meeting site.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

Meeting spaces were convenient and accessible.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

My special needs were accommodated.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

The provided information helped me find where I needed to be and when.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

The food was satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

My accommodations were satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

The overall schedule had enough opportunity for activity and engagement.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

Interest groups I attended were interesting and well presented.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I attended the dance and enjoyed it.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I attended community night and enjoyed it.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

My worship sharing group experience was meaningful and worthwhile.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I attended plenary sessions and believe that good order was followed.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I experienced the children's program and felt it was positive for the children.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I attended a JYM session and thought it was a positive experience for JYM.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I participated in a Young Friends session and thought it was a positive experience.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

All things considered, I'm glad I attended PYM this year.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

What, specifically, affected you positively in this annual gathering?

What, specifically, would you like to have changed in this annual gathering?


The following fields are optional, however if you wish for someone from M&O to contact you, make sure to include your name and a method of contacting you, then select the check box below.
Your name:
Your email:
Your phone:
If you have a specific issue you wish to discuss directly with Ministry & Oversight, please select here: Yes - Contact Me


To help us distinguish you as a human and not a computer program, please enter the First and Last name of the Friend who made the following quote in 1656;

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Nominating Committee Pink Sheet

Your Name: (required) *

Your Email:

Your Phone:

Your Meeting:
MemberAttender

Which best describes you?

Teen or youngerCollege-age / exploring futureBeginning career / familySettled into job / familyLooking toward retirementActive seniorNot so active anymoreOther (specify):

In what ways have you served your local Monthly Meeting/Worship Group or Quarter?



In what ways have you served PYM?



In what ways would you be willing to serve PYM?

(Job descriptions are available from Nominating Committee)

Officers

Presiding ClerkAssistant to ClerkArrangements ClerkHistorian / ArchivistReading ClerkRecording ClerkRegistrarStatistical ClerkTreasurerAssistant Treasurer

Committees

Ministry & OversightChildren's ProgramDisciplineFinanceHolding CorporationJunior Yearly MeetingLatin American ConcernsNominatingPeace & Social OrderReligious Education for ChildrenSecretariatSiteUnity with Nature

Representatives / Observers

American Friends Service Committee (AFSC)Evangelical Friends Church SouthwestFriends Bulletin Board of DirectorsFriends Committee on Legislation CA (FCLCA)Friends Committee on National Legislation (FCNL)Quaker Earthcare WitnessFGC Central CommitteeFriends Peace Teams BoardFriends United Meeting (FUM)Friends World Committee for Consultation (FWCC)Reunión General de los Amigos en MéxicoWilliam Penn House Other ways you would be willing to serve (specify):

If unable to serve PYM currently, when might you be available?



If you have suggestions of other Friends who might serve well in some position, please let us know here:


Open Message Area:

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PYM2011EvaluationForm

How many times have you attended the Annual Gathering of Pacific Yearly Meeting?
1st time2-5 times6-10 times11-15 times16-20 times21+ times

What is your age?
13 or under14-1819-3536-6061-7980+

Select one response or N/A (Not Applicable) for each of the following questions:

The registration process was satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I liked Claremont McKenna College as a meeting site.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

Meeting spaces were convenient and accessible.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

My special needs were accommodated.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

The provided information helped me find where I needed to be and when.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

The food was satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

My accommodations were satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

The overall schedule had enough opportunity for activity and engagement.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

Interest groups I attended were interesting and well presented.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I attended the dance and enjoyed it.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I attended community night and enjoyed it.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

My worship sharing group experience was meaningful and worthwhile.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I attended plenary sessions and believe that good order was followed.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I experienced the children's program and felt it was positive for the children.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I attended a JYM session and thought it was a positive experience for JYM.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

I participated in a Young Friends session and thought it was a positive experience.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

All things considered, I'm glad I attended PYM this year.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

What, specifically, affected you positively in this annual gathering?

What, specifically, would you like to have changed in this annual gathering?


The following fields are optional, however if you wish for someone from M&O to contact you, make sure to include your name and a method of contacting you, then select the check box below.
Your name:
Your email:
Your phone:
If you have a specific issue you wish to discuss directly with Ministry & Oversight, please select here: Yes - Contact Me


To help us distinguish you as a human and not a computer program, please enter the First and Last name of the Friend who made the following quote in 1656;

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PYM2012EvaluationForm

1. How many times have you attended the annual gathering of Pacific Yearly Meeting?
1st time2-5 times6-10 times11-15 times16-20 times21+ times

2. What is your age?
13 or under14-1819-3536-6061-7980+

Select one response or N/A (Not Applicable) for each of the following questions:

3. The registration process was satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

4. I liked Walker Creek as a meeting site.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

5. Meeting spaces were convenient and accessible.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

6. My special needs were accommodated.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

7. The provided information helped me find where I needed to be and when.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

8. The food was satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

9. My accommodations were satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

10. The overall schedule had enough opportunity for activity and engagement.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

11. I found the scheduling changes made this year a positive aspect of this gathering.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

12. Interest groups I attended were interesting and well presented.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

13. I attended the dance and enjoyed it.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

14. I attended community night and enjoyed it.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

15. My worship sharing group experience was meaningful and worthwhile.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

16. I attended plenary sessions and believe that good order was followed.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

17. I experienced the children's program and felt it was positive for the children.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

18. I attended a JYM session and thought it was a positive experience for JYM.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

19. I participated in a Young Friends session and thought it was a positive experience.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

20. All things considered, I'm glad I attended PYM annual gathering this year.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

What, specifically, affected you positively in this annual gathering?

What, specifically, would you like to have changed in this annual gathering?


The following fields are optional, however if you wish for someone from M&O to contact you, make sure to include your name and a method of contacting you, then select the check box below.
Your name:
Your email:
Your phone:
If you have a specific issue you wish to discuss directly with Ministry & Oversight, please select here: Yes - Contact Me


To help us distinguish you as a human and not a computer program, please enter the number 66 as your answer;

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PYM2012EvaluationForm_copy

1. How many times have you attended the annual gathering of Pacific Yearly Meeting?
1st time2-5 times6-10 times11-15 times16-20 times21+ times

2. What is your age?
13 or under14-1819-3536-6061-7980+

Select one response or N/A (Not Applicable) for each of the following questions:

3. The registration process was satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

4. I liked Walker Creek as a meeting site.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

5. Meeting spaces were convenient and accessible.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

6. My special needs were accommodated.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

7. The provided information helped me find where I needed to be and when.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

8. The food was satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

9. My accommodations were satisfactory.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

10. The overall schedule had enough opportunity for activity and engagement.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

11. I found the scheduling changes made this year a positive aspect of this gathering.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

12. Interest groups I attended were interesting and well presented.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

13. I attended the dance and enjoyed it.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

14. I attended community night and enjoyed it.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

15. My worship sharing group experience was meaningful and worthwhile.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

16. I attended plenary sessions and believe that good order was followed.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

17. I experienced the children's program and felt it was positive for the children.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

18. I attended a JYM session and thought it was a positive experience for JYM.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

19. I participated in a Young Friends session and thought it was a positive experience.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

20. All things considered, I'm glad I attended PYM annual gathering this year.
Strongly agreeModerately agreeModerately disagreeStrongly disagreeN/A

What, specifically, affected you positively in this annual gathering?

What, specifically, would you like to have changed in this annual gathering?


The following fields are optional, however if you wish for someone from M&O to contact you, make sure to include your name and a method of contacting you, then select the check box below.
Your name:
Your email:
Your phone:
If you have a specific issue you wish to discuss directly with Ministry & Oversight, please select here: Yes - Contact Me


To help us distinguish you as a human and not a computer program, please enter the number 66 as your answer;

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VFB Pro Classic Forms:

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PYM RepCom 2013 Registration:

PYM RepCom 2013 Registration Form

  • http://santacruzquakers.org/

    SUBMIT FORM BY FEB 15, 2013

  • Travel:

  • If driving from the North, can you pick up persons along the way or drop them off on the return trip?
  • If driving from the South, can you pick up persons along the way or drop them off on the return trip?
  • There is public transit from San Jose to Santa Cruz, but it may take several hours, depending upon connections or time of day. For further info on Public Transit, please contact John DeValcourt at repcommreg [at] gmail [dot] com. If you are arriving by plane, train, or bus to San Jose, and you need a ride, please put your arrival info here, and we’ll try to match you up with a ride:
  • Hospitality:

  • For more information on Santa Cruz hotels please contact Francie Nurkse at repcommreg [at] gmail [dot] com.
  • Meals

 

Verification

 

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FAP Workshop:

Fieldset

 

Verification

 

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PYM 66th Annual Session Registration:

Main Contact Section

  • Required Fields are marked with a Red *
  • This on-line Registration Form is for ONE person. For households with more than one member attending PYM AS 2012, use the exact same Family name and Main Contact information above, then in the Next Section, select which family member this form is being used for, as well as the Total # of family members you are Registering. (Example: for a family of five, use 1 of 5, 2 of 5, 3 of 5, etc).

    You will then print out each Family Member's Registration Confirmation email and mail all that into the Registrars, along with your payment and Child/JYM Permission Forms as applicable. There is no on-line payment option for this event.
  • Next 1 / 3
 

Registrant Section

  • Unless you tell us otherwise, we will include your Name(s), Address(es), Phone Number(s), E-mail(s), and Monthly Meeting/Worship Group/Organization on our 2012 Attenders List that is created and distributed during Annual Session by the Secretariat Committee. If you prefer to keep this information private, select these boxes. For proper record keeping, at a minimum, your name and Monthly Meeting/Worship Group/Organization will still be shown on Attenders List, even if you elect to Opt Out personal details.
  • Section (A) for Volunteer Selection

  • (A) Volunteer: Everyone is encouraged to volunteer in some way. Indicate in which area you would like to serve:
  • Section (B) for Worship Sharing Selection

  • Indicate small group choices. There are both morning and afternoon opportunities. Worship-Sharing (WS) groups meet daily for deep sharing. For many, this is the most meaningful part of Annual Session. You may choose WS in the morning, afternoon, or both. Partners may choose couples WS. Drop-in WS is available for those attending less than an entire week. Morning groups are held at the same time as Bible study and afternoon, at the same time as Transformative Quakers. In choosing a week-long WS you have a daily commitment to that group and won’t be able to attend the other activity scheduled for that AM or PM period.

    You are encouraged to read Annual Session 2012 Schedule: An Experiment and review the Annual Session 2012 Schedule to help inform your WS choices.
    Click here for the JYM Program Schedule.
  • Choose Type of Registration

  • Section (C) For Lodging Options

  • If you are staying overnight, complete Section (C) to select your Lodging options.
    (For Day use only Select "(D) No overnight lodging" in (C) Lodging Code then Skip to Section (D) below)
  • ONLY jump to Section (D) if you are not staying overnight and have selected "(D) No overnight lodging" above in "(C) Lodging Code" drop-down menu.
    Overnight includes supper, breakfast, and lunch, starting with supper on Monday and ending with lunch on Saturday.
    No lunch on Monday.
    You may register for any number of consecutive nights.
    Cost for pillow, blanket, sheets, and towels is $25 per week, or you may bring your own.
  • Jump to Special Needs Section. Do not complete Section (D) if you are staying overnight.
  • Section (D) for Day Attender/Commuters

  • (DO NOT COMPLETE THIS SECTION IF STAYING OVERNIGHT.)

    • Day attendance includes lunch (L), except on Monday.
    • Supper (S) is an additional cost as shown in the Day Attender/Commuter code menu below.

    • There is no charge for attending Meeting for Memorials. This does not include meals.
  • Continue to Special Needs Section.
  • Special Needs Section

  • Transportation Needs

  • Minor Attending Without A Parent

  • • Children's Program/JYM forms can be found here.
  • Next 2 / 3
 

Final Page for Totals $

  • Alert; Discounts/Late Fees are applied here at the individual Registration level, unlike the hard copy which is calculated on the Complete Registration Sub-Totals. Your final Total should be the same result, regardless of how you perform the calculations.

    [omit $ in all fields below, enter in xxx or xxx.xx format]
  • Costs Section

  • Click here to see Sample Calculations for Early Discounts.
  • Click here to see Sample Calculations for Late Fees.
  • Payment Section

  • • Once you have completed this form, review that all required fields are entered properly, then click the Submit Registration button, only once. After validation by the system for errors, you will be redirected to a Confirmation page, at which time you can enter more family member registrations.

    • For each Registration successfully submitted, you will receive a Confirmation email with a copy of your registration.

    • You will then need to print out your email confirmation and mail it in with your payment. The mailing address will be included at the top of your Confirmation email.

    Full refunds are available until July 18, 2012.
    Cancellations after that date will be charged $100.



    Jump to Top of Form
 

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RepCom 2012 Registration Form:

Oops! Missing Fieldset

If you are seeing this message, it means you need to add a Fieldset to the beginning of your form. Your form may not function or display properly without one.

  • RepCom 2012 Registration Form

    • Representative Committee 2012

      March 2-4, 2012

      La Jolla Monthly Meeting

      7380 Eads Avenue, La Jolla, CA 92037 Tel. 858-456-1020

      RETURN FORM BY FEB 18, 2012

    • Travel:

    • Hospitality:

    • Meals (donations accepted for all meals)

     

    Verification