Western Fraternal Life Association

We are posting this survey to find out what our former wfla scholarship winners are doing. We would like to create some feature stories in the Fraternal Herald magazine and on our website. The answers to the questionnaire will let our members know what past winners are doing and to encourage young members to apply for the scholarship.

We will have a drawing for one $50 Visa Gift Card from all who respond by August 31, 2010.

1. What is/was your major in college? What College did you graduate from?

2. Have you graduated?
Yes No Trade Associates Bachelors Masters Doctorate Other

3. Did you belong to a Fraternity/Sorority?

Yes No

4. How closely related to your major is your job? (1 not close, 4 very close, 5 great match)

1 2 3 4 5 n/a

5. Do you currently volunteer in your community? If yes, doing what?

Yes No

6. If you had the opportunity to volunteer in your community, would you?
(1 not interested, 4 very interested, 5 absolutely would participate)
1 2 3 4 5

7. If you had the opportunity to volunteer on a project that was of interest to you with a wfla lodge, how interested would you be to get yourself, friends, and family members involved?
(1 not interested, 4 very interested, 5 absolutely would participate)

1 2 3 4 5

8. Are you currently involved in any wfla lodge? if so, what activities and projects?

Yes No

9. Have you ever been involved in a wfla lodge?

Yes No

10. What is your most memorable college experience? How did the scholarship help you towards/meet your goals?

11. What do you hope to be doing in 5 years, in 10 years, both professionally and in your community?

12. May we contact you for additional information, and if so, what is the best way to contact you?

Please add any information that is missing:

Name:		Lodge No.:
Address:		Email:
City:
State:
Zip:
Phone: