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Athlete Leadership Reporting Form
Complete the following form to log Global Messenger Activity. Please email a copy of your speech to wolinger@soiowa.org.
First and Last Name *
Your answer
Team/Delegation *
Your answer
Email Address *
Your answer
Event Name (ex: State Games Volunteer, Kiwanis Meeting, School Assembly) *
Your answer
Date *
MM
/
DD
/
YYYY
Location (ex: Name of School, Name of Church, etc.) *
Your answer
What was your role at the event? *
Approximately how many people were at the event? *
Your answer
What was your speech about? (ex: General information, Thank You, Personal)
Your answer
If you did not give a speech, what was your involvement (EX: Greet guests, photo opportunity, thank individuals)
Your answer
Notes or Comments (optional)
Your answer
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