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Event and Action Reporting Form
(includes chapters & individuals)
Name
*
First
Last
School
*
Email
*
Zip-code
*
What type of event or action did you do?
*
Recruitment
Identity Based Violence Action/Event
Monthly Movie Screening
Youth PROMISE Act
On-Campus Education
Select all that apply
Did you take pictures? If yes, please email them to SPA@peacealliance.org
*
Yes
No
Do we have your permission to put this in the program bank?
*
Please give us a brief write up of your event or action. Things to consider are: what kind of resources did you use, what was the goal of the event who did you target? Would you do anything differently next time?
*
Select all that are applicable
What was the outcome of the event? How many people participated, how many actions did you generate? (Letters, phone calls, signatures, new members etc.)
*
Comments, questions, advice, suggestions?
*
Submit
1616 P. Street, NW, Suite 100, Washington, DC 20036
StudentPeaceAlliance.org SPA@peacealliance.org tel: 202-684-2553
Copyright 2014