First Name:
Last Name
(Name must be completed to be entered in the drawing)

Spouse's name:

Address:
City:
State: Zip:

Email:

Phone:

Your date of birth (mm/dd/yyyy):

Wedding anniversary date (mm/dd/yyyy):

Children's full names:

What is your relationship to the Ursuline Sisters? Please check all that apply.
Alumnae/former student
Name of school
Class year location of school
Benefactor
Volunteer
Associate
Relative of an Ursuline Sister
Former member
Other (please specify)

How often do you read the Ursuline Dome?
(Always, most of the time, sometimes, rarely, never)

How much of the Dome do you read?
(All, most, some, little, none)

For the following statements, please indicate your opinion by entering the number that corresponds with your answer.

Strongly agree=5
Agree=4
Neutral=3
Disagree=2
Strongly disagree=1

1. I feel that the Dome is easy to read

2. I like the way the Dome looks

3. I find the Dome useful at telling me what is going on with the Ursuline Sisters of Louisville

How often do you read the following sections of the Dome? Please enter the number that corresponds to your answer.

Always=5
Most of the time=4
Sometimes=3
Rarely=2
Never=1

1. Main feature story (page 1)

2. President's letter

3. Associate Aspects

4. Vocation Venue

5. Angela Merici Center calendar

6. Donor list

7. "In honor of" list

8. "In memory of" list

9. In memoriam

Please indicate the amount of information you feel should be provided in the Dome on the following topics by entering the number that corresponds with your answer.

More=3
About right=2
Less=1

1. Ursuline Sisters' ministries in Louisville

2. Ursuline Sisters' ministries in other areas of the country

3. Ursuline Sisters' ministries in Peru

4. Angela Merici Center

5. Marian Home

6. Ursuline Sisters' special events

7. Reunions

8. Fundraising activities

9. Associate activities

10. Religious life

11. Volunteer opportunities

12. Other

I think the dome is mailed
too often
just right
not enough
I do not wish to receive the Dome

Please answer yes or no to the following:

Do you have access to e-mail?

Do you have access to the Internet?

Would you consider using the Internet to view the Dome?

Would you like to receive periodic news updates from the Ursuline Sisters via e-mail?

Have you ever attended an Angela Merici Center program

Would you like more information about the Angela Merici Center and the programs offered?

Would you or someone you know like more information about becoming part of the Ursuline family?

If yes, please check what type of relationship you/a friend is interested in pursuing
Associate Call
Vowed membership
Exploring where the spirit may be leading you
Volunteering

Do you attend the Ursuline Campus Art Fair?

If you are a benefactor, to which funds do you currently give?
Greatest need
Retired sisters
Operation of Marian Home
Marian Home endowment
Motherhouse renovation
Peru

I think the number of appeals (requests for financial support) I receive each year from the Ursuline Sisters (not including the Dome) is:
not enough
about right
too much

Would you like more information about giving opportunities - gifts of cash, stock and life insurance?

Would you like information about remembering the Ursuline Sisters in your will?

Please enter any comments or suggestions:

Thank you for taking time to share your thoughts with us!