NATWA II
Survey
The North America Taiwanese Women’s Association (NATWA) would like to ask you to fill out this survey form and help NATWA establish an important database for young Taiwanese American Women (NATWA II). The information you provide is for NATWA use only and will not be shared with others.
1. Your Name: ______Phone# :______
Address: ______
City: ______U. S. State: ______Zip Code: ______
Canada Prov.: ______Zip Code ______
Email Address: ______
2. Are you a NATWA Member? ___ Yes ___ No
3. How many daughter(s) do you have between 25 and 40 years old? ____
4. Please write down as much information as you can about your daughter(s). You may use the space in the back if you have more than 2 daughters who you would like to introduce to NATWA II. You may also refer other 1.5- and 2nd-generation Taiwanese American and Canadian women.
Daughter #1 (if not your daughter, please list this person’s relation to you here: ______)
Name: ______Phone# :______
E-mail Address: ______Year of Birth: ______
Address: ______
City: ______U. S. State: ______Zip Code: ______
Canada Prov.: ______Zip Code ______
A. What best describe your daughter’s (or this person’s) current work status? (Please check all that apply)
___ Financial Management ___ Health & Social Services ___ Government (Federal/State/Local)
___ Law & Legal Services ___ Non-profit Organization ___ Engineer & High Tech Industry
___ Homemaker ___ Education ___ Journalism and Publishing
___ Arts & Music ___ Film & Entertainment Industry ___ Other: ______
B. Do you think she would be interested in knowing more about NATWA II? ___ Yes ___ No
Daughter #2 (if not your daughter, please list this person’s relation to you here: ______)
Name: ______Phone# :______
E-mail Address: ______Year of Birth: ______
Address: ______
City: ______U. S. State: ______Zip Code: ______
Canada Prov.: ______Zip Code ______
A. What best describe your daughter’s (or this person’s) current work status? (Please check all that apply)
___ Financial Management ___ Health & Social Services ___ Government (Federal/State/Local)
___ Law & Legal Services ___ Non-profit Organization ___ Engineer & High Tech Industry
___ Homemaker ___ Education ___ Journalism and Publishing
___ Arts and Music Industry ___ Film & Entertainment Industry ___ Other: ______
B. Do you think she would be interested in knowing more about NATWA II? ___ Yes ___ No
5. Would you be interested in helping NATWA II? ___ Yes (proceed to #6) ___ No
6. What area(s) would you be interested in helping NATWA II?
____ Recruiting NATWA II Members ____ Designing NATWA II Programs
____ Contacting your local NATWA II Members ____ Donating funds to NATWA II Internship
____ Sponsoring NATWA II Members to attend NATWA Conference
7. Please tell us your vision or make suggestions about NATWA II. For example, what would you like NATWA II to do for your 2nd (or 3rd) generation family members?
______.
______.
______.
PLEASE fax this form to 310-652-9800 or mail to Tsuann Kuo, 212 S. La Peer Dr. Beverly Hills, CA 90211
You may also help spread the word by asking your daughter(s) or friend(s) to download the form from www.natwa.com. For e-mail correspondence, please use .
The North America Taiwanese Women’s Association (NATWA) was founded in Los Angeles in 1988 as a non-profit organization. To learn more about NATWA, please visit our website at www.natwa.com. In 2002, NATWA Board passed an initiative to recruit members from younger generations to form “NATWA II”. The purpose of NATWA II is three-fold: (1) to establish a network consisted of young Taiwanese American women and (2) to cultivate and promote talents among young Taiwanese American women, and (3) to preserve Taiwanese culture and promote Taiwanese American identity. For more information, please e-mail .