Cradle to Career Reporting Form: Mental Health-Related Events 2019-2020
The purpose of this form is to support our Cradle to Career goal of increasing the number of events (meetings, gatherings, planning sessions, etc.) where parents and youth have safe spaces to talk about mental health issues.
Email *
Full name (first & last): *
Organization: *
Event name: *
Events include, but are not limited to, meetings, gatherings, and planning sessions.
What was the main mental health-related focus/topic/theme of this event?
Event frequency: *
Event date: *
MM
/
DD
/
YYYY
Event start time: *
Time
:
Event end time: *
Time
:
Tompkins County town: *
Where did this event occur? *
Please provide an address, building, and/or general location details.
Select all participant groups: *
Required
Number of participants (estimated): *
Primary event purpose: *
**The questions below are optional, but encouraged.**
What type of event evaluation was used?
How successful was this event?
Were there any significant insights, lessons learned, and/or other takeaways?
Any other comments/feedback?
Do you need any help or support for future events?
If yes, please provide a description of your current struggles and expectations/ideas for assistance.
A copy of your responses will be emailed to the address you provided.
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