PAC Event Demographics Information
Please complete this form for each event/activity that committee does for the month.
Committee Name *
Choose from the list.
Date of Event *
Please type mm/dd/yyyy format
Event/Activity *
Give the name of the event
Location *
Location of the Event
Number of Chapter Participants *
Please enter the number of chapter members in attendance
Number of Participants Excluding Chapter Members *
Number of Participants excluding Chapter Members
Event Summary *
Purpose of Event and Event Highlights -If your committee was not listed please type it in.
Five Point Thrust *
Please select 5- point thrust this activity falls under
Report Submitted By *
Please enter your name
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