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Asian Single Parents Network
Membership Form
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* Indicates required question
1. Name
*
Your answer
Town and County (This is useful for planning events)
*
Your answer
Email address
*
Your answer
Telephone number
*
Your answer
Occupation
*
Your answer
2. A bit more about you. (This will help in the planning of events, e.g. cultural activities).
Gender: Male
Gender: Female
Age: 20 - 29
Age: 30 - 39
Age: 40 - 49
Age: 50+
Religion: Hindu
Religion: Muslim
Religion: Sikh
Religion: Other
Religion: Prefer not to say
4. Which social media platforms are you on? (This is used for vetting purposes only)
Facebook
Instagram
Linkedin
Twitter
Not on social media
What is your name on these social media platforms?
Your answer
5. How long have you been a single parent?
1 - 2 years
2 - 5 years
5 - 10 years
10 years +
How did you hear about our Network?
Your answer
6. Current Status
*
Separated
In process of Divorce
Divorced
Widowed
Single
In a relationship
Required
7. What is the gender and age of your child(ren)?
*
Your answer
Please let us know about your interests, and also your children's. This will really help us when planning meets.
*
Your answer
8. Which of the following are you interested in?
Day trips with kids
Evening events (adults only)
Holidays/short breaks
Legal advice
Financial advice
Dating
Other (if none of the above, what other things would you be interested in doing with this group?)
Your answer
9. How do you think ASP would benefit you?
*
Your answer
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