AAUW Title IX Resources Delivery Report Form
Thank you for delivering Title IX resources to schools near you. Let us know how it went so we can spotlight all of your amazing work! Contact advocacy@aauw.org with any questions or concerns.
Name *
Your first and last name.
Your answer
Email address: *
Your answer
Role / title:
If you are affiliated with AAUW, your role and/or title:
Your answer
State: *
Your answer
Branch:
If you belong to an AAUW branch, which one:
Your answer
College or University:
If you are currently a student, please let us know what school you attend.
Your answer
What school did you deliver the Title IX resources to? *
Please list 1 school. If you delivered the resources to more than 1 school, you can provide the information about the additional schools at the end of this form or you can submit a separate form for each school.
Your answer
Where is this school located?
City, State
Your answer
How did you deliver the Title IX resources. *
Date of activity:
On what date did you deliver the Title IX resources?
MM
/
DD
/
YYYY
If you met with a school official please share their name and title.
Your answer
If you met with a school official please share their email address.
Your answer
I also did the following things to help publicize the new Title IX resources.
Check all that apply. Include activities your branch or other AAUW organizations completed.
Other attendees at the event.
List the other participants in the Title IX resource delivery.
Your answer
Were pictures taken of the delivery?
If pictures were taken, have you emailed them to advocacy@aauw.org?
Please share any relevant photos, along with the names and roles of the people in the photos.
If you delivered these resources to additional schools, please list them here. Please include the Title IX Coordinator's name and contact information.
You can also submit a separate form for each school by visiting http://bit.ly/T9DeliveryReport again.
Your answer
Other.
Include anything else you would like to share about the delivery.
Your answer
What would make the delivery easier and more effective next time?
Your answer
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