Outreach Tracker
This form will help track the various outreach activities such as public lectures, classroom visits, science fairs/competitions, mentoring, tours, student engagement, etc... Do not use this form for academic or scientific conferences where the primary audience is other professionals. Please answer all the fields to the best of your knowledge. If you need any assistant feel free to contact Adi Hanein with any questions (adi.hanein@noaa.gov or 206-526-6810) for anyone at PMEL and Jed Thompson for others at JISAO (jedthom@uw.edu or 206-616-3845). The form collects email address in case you would like a copy of your submission which you request at the end of the form. This form will be used for reporting at NOAA/PMEL and JISAO.
Email address *
Event Title *
Your answer
Participant Name (If other staff participated, please either fill out the form again or have them fill this form separately) *
Your answer
Activity Date *
MM
/
DD
/
YYYY
Summarize the event, what you did and describe any hands-on activities you did at the event. *
Your answer
Affiliation *
Group *
Participation Time (in hours) *
Your answer
Activity Location (Venue) *
Your answer
Activity Location (City, State) *
Audience *
Required
Estimated Audience Size *
Your answer
Subject(s) Covered (Please elaborate below) *
Required
Rate your experience *
Not Enjoyable (group was distracted, not interested, etc...)
Most Enjoyable (group was engaged, etc....)
Would you participate again? *
If yes - please provide contact information (contact name, contact organization, number, email address)
Your answer
Do you have pictures from the event? If yes and would like to share, please email them to Adi (adi.hanein@noaa.gov) and Jed Thompson (jedthom@uw.edu) for JISAO *
Is there a website to find more information about the event? (Copy link below)
Your answer
Additional comments, suggestion for future visits, additional staff or offices that participated, etc...
Your answer
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