Ag in the Classroom Report
Use this form to report your local Ag in the Classroom activities to California CattleWomen.
Email address *
Name of Person Reporting: *
Your answer
Phone #: *
Your answer
Your local CattleWomen group: *
1. Indicate type of activity completed (choose all that apply): *
Required
2. Event Date: *
MM
/
DD
/
YYYY
3. Event Location: *
Your answer
4. Grade Level of Audience: *
Your answer
5. Number of Students/Persons: *
Your answer
6. Number of Presentations: *
Your answer
7. Length of Each Presentation: *
Your answer
8. Total CattleWomen hours volunteered for event/activity: *
Your answer
9. Names of Members Involved:
Your answer
10. Number of Miles Traveled for event/activity:
Your answer
11. Describe your event/presentation (topic/subject): *
Your answer
12. Total social media impressions (Facebook, Twitter, etc.):
Your answer
13. Total media impressions (news coverage - evening news, newspaper, magazine, etc.):
Your answer
14. Did you use materials provided by the California Beef Council in this activity/event? *
A copy of your responses will be emailed to the address you provided.
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