2018 AZ Agricultural Literacy Days (Volunteer Report)
Please complete this form EACH time you read the book to students.

We appreciate you taking a moment to report on your experience.

Thanks! :-)

First Name *
Your answer
Last Name *
Your answer
School *
School's Name
Your answer
Teacher(s) *
Teacher's Name
Your answer
Date *
What date did you visit?
MM
/
DD
/
YYYY
Time *
How much time (in minutes) did you spend with the students?
Feedback
Any general thoughts or suggestions for improving the program?
Your answer
People Present *
Can you estimate how many people were present along with their gender and ethnicity?
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