SMP Hawaii Event Report
Please complete and submit this form immediately following an event or activity. Only one Team Member needs to complete this form when multiple members attend.
Name of Event:
Date of Event:
Team Member Name(s):
Who drove? For mileage reimbursement list names of all Team Members that drove:
Event Location (including address and zip code):
Topics Covered: (please check appropriate boxes)
Don't Get Scammed
Drama Club Skits
Medical Identity Theft
New Medicare Cards (without SS #s)
SMP Volunteer Recruitment
Number of participants or packets distributed:
Specific comments about event, venue, attendees, or other, such as "parking was difficult, too sunny & no tent or shade, coordinator was very helpful, next time we need to bring our own chairs", etc:
Should we do this event again?
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