Ag in the Classroom Reporting Form
In Person live or virtual Classroom or Student Event Presentation
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Email *
Name of Person Reporting *
Phone Number *
Cattlewomen Unit Reporting *
Type of Activity *
Event Date *
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Location of In Person Event *
Grade Level of Audience / Intended Audience
Number of Students Reached - *
Please include only those who attended the presentation, not the entire community or field day event attendance
Number of Replays of the original virtual lesson presentation - complete if known, otherwise enter 0 *
Length of Presentation (in hours) *
Number of Times Presented *
Total Cattlewomen Hours volunteered for the event or activity (travel to and from, preparation, presentation, and cleanup) *
Total Print Media Impressions -ie TV, Radio and Newspaper *
Total Social Media Impressions - Social Media *
Did you use materials Provided by *
What special details about this event would you like to share?
A copy of your responses will be emailed to the address you provided.
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