History Alliance Survey
Name
First Name
Last Name
Email
example@example.com
Phone Number (Optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Please check the historic landmarks that you think are important:
Piney Grove Schoolhouse
St. Paul's Cemetery
1837 Train Depot
Kernersville Museum & Historic Village
Körner's Folly
Other
If Other, please list here:
What types of activities do you think the Kernersville History Alliance should be engaged in? (Check all that apply):
Promoting historical site visitation to Kernersville community
Promoting historical site visitation outside of Kernersville community
Organizing volunteer tour guides for programs and visits
Organizing volunteers for cleanups and maintenance
Other
If Other, please specify here:
How would you like to be involved as a volunteer or member of the Kernersville History Alliance? (Check all that apply):
Historic site or tour guide
Site cleanup or maintenance
Historical research
Communications / promotional efforts
Other
If Other, please specify here:
Submit
Should be Empty: