Survey

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- Upcoming Speakers 2023
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Community Service
Survey
About Us
Executive Committee

Tell us about yourself!

We want to hear from both veterans and non-veterans so that we may continue our 25-year
tradition of providing quality programming that meets your interests and needs.

In what branch (or branches) of the United States military have you served?

Please check all that apply *

Army Navy Marines Air Force Coast Guard No Military Service Performed military-related work

Describe military-related work. *

What were the dates of your active military duty?

Please provide start and end dates. *

Where did you serve? Please list all locales. *

What was your highest rank achieved? *

What were the main duties you performed while in military service? *

If you served in the Guard or Reserve, when did you serve? Please include start and end dates. *

What were your duties in the Guard or Reserve? *

Please share your thoughts about our programs

What programs did you especially like? *

What programs would you like to see in the future? *

How long have you been attending LVA programs? *

One year or less 1-3 years 3-5 years More than 5 years

Please share any other aspect of LVA you want us to know about. *

As a non-profit service organization, we rely on the support of our volunteers. Would you be interested in helping the LVA?

Yes, please contact me. I'm interested in: *

Program planning Meeting production Working with Bedford VAMC Webmaster Communications Other: please explain below

Other volunteer ideas: *

How did you hear about us? *

Would you like to explore a possible speaking opportunity?

Please share your concept here. *

Finally, please give us your contact information so we can keep our records up to date and keep you informed of future programs and events.

* Indicates required field

Name *

First

Last

Email *

Please double check that your email has been entered correctly. Thank you!

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Submit

Home
Speaker Series
- Upcoming Speakers 2023
- Past Speakers >
Community Service
Survey
About Us
Executive Committee

Tell us about yourself!

Please share your thoughts about our programs​

Please share your thoughts about our programs