NSS Chapter Event Report Form
Please use this form to list information about your chapter outreach activities. This includes NSS Presentations, chapter meetings, exhibits, podcasts, articles written, conference volunteer work, and other activities.

Knowing what you are doing is very important to us!!! This is one way for us to show how effective our programs and outreach activities are. In addition, it's easier for NSS to track and prepare event data for reporting to the government in order to keep our non-profit status. So, your diligence in reporting about all the activities that you do is tremendously important.

Thank you!
Sign in to Google to save your progress. Learn more
Country *
Please share the location where the event or sponsoring group is from. If the event is in a virtual location, a place other than your physical location, please share either the virtual location or insert N/A (not apply).
State/Province *
City/Town *
Event Start Date and Start Time *
Please use the dropdown menus to add the event date. (Does not include prep time)
MM
/
DD
/
YYYY
Time
:
Event End Date and End Time *
Please use the dropdown menus to share the ending date and time of the event. (Does not include prep time.)
MM
/
DD
/
YYYY
Time
:
NSS Chapter Name *
Name of Event Primary Contact *
Email Address of Event Primary Contact *
Event Type - External or Active *
Please choose the activities associated with the event, as many as apply.
Required
Other Event Type
If you chose 'other' in the above, please share the type of event you participated in.
Event Type - Internal or Passive *
Please choose the activities associated with the event.
Required
Event Title *
Please share information about the event title and the title of the prsentation, podcast, or other titles.
Event URL
Provide a link for location or information about event
Event Venue *
Please share the name of the place or sponsoring group where the event was located.
Audience Size Plus Media Coverage Estimate *
Please estimate the number of people reached because of this event.
How was media audience reached? *
Please check all that apply to how the audience was reached.
Required
Other Audience Type
If you chose 'Other Audience' in the question above, please explain what that audience type was.
Possible Outcomes or Follow-up
Please share any information about possible outcomes of this event or of any possible follow-up actions that may need to be taken.
Additional Presenters
Please list the names of any other persons that collaborated with you on this event.
Comments
Please share any comments or other information that may be useful for us to know.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy