NIAA Program Report (2020 onwards) Form to be completed by AMRRIC staff. Question Title * 1. Program/Project Name e.g. Lajamanu vet visit, Gapuwiyak cat education, Tiwi census etc Question Title * 2. Start date Date / Time Date Question Title * 3. End date Date / Time Date Question Title * 4. Program Funder(s) Question Title * 5. Purpose Veterinary Education Training Research sampling Census Other (please specify) Question Title * 6. Total number of team members 1 10 20 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 7. AMRRIC staff in attendance Bonny Cumming Brooke Rankmore Lauren Shaw Rebecca Ing Lani Lawson Tida Nou Helen Bigmore Jessica Hoopes Kirsty Officer Tori Lindholm Heidi Jasprizza Angie Ridley Jaimie Hansford Jenny Turton Tash Curlew Aimee Long Kaela Good Vanessa Green Other (please specify) Question Title * 8. Other team members i.e. people from outside of the community who are travelling to participate in the program[Always include the semicolon separator in your answer. If any of the fields are unknown, leave a space, followed by a semicolon, e.g. if participant has no affiliated organisation or contacts, enter " ; Joe Smith; M; Unspecified; 12; "] 1 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 2 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 3 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 4 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 5 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 6 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 7 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 8 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 9 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 10 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked Question Title * 9. Community-based team members (i.e. people from within the community) who are assisting in the delivery of the program[Always include the semicolon separator in your answer. If any of the fields are unknown, leave a space, followed by a semicolon, e.g. if participant has no affiliated organisation or contacts, enter " ; Joe Smith; M; Unspecified; 12; "] 1 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 2 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 3 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 4 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 5 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 6 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 7 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 8 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 9 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked 10 Organisation; Participant name; Gender (M, F or Unspecified); ATSI? (Y, N, Unspecified); Hours worked Question Title * 10. Community individuals/groups engaged i.e. those people/groups within the community that are recipients of the program [Always include the semicolon separator in your answer, e.g. if participant has no affiliated organisation or contacts, enter " ; Joe Smith; "] 1 Organisation; number of people engaged 2 Organisation; Participant name & title (if applicable) ; Contacts details 3 Organisation; Participant name & title (if applicable) ; Contacts details 4 Organisation; Participant name & title (if applicable) ; Contacts details 5 Organisation; Participant name & title (if applicable) ; Contacts details 6 Organisation; Participant name & title (if applicable) ; Contacts details Question Title * 11. State or Territory NT QLD SA WA Next