Post Outreach Event Form

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* 1. Name of Staff Completing Form

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* 2. Date of Event

Date

Date

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* 3. Organization

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* 4. Expo Name

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* 5. Location

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* 6. Town

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* 7. Primary Audience

Other (please specify)

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* 8. # of individuals who received information about NWSRA (Impressions). Please enter a whole number.

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* 9. If NWSRA staff volunteered at this event, how many NWSRA volunteers attended?

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* 10. Any highlights?