2019 Operation Smile Presentation Tracker
This submission form is used to record presentations completed for upgrading membership within an Operation Smile Club. To reach the next level, members must complete five presentations.

After all completed presentations, please do not forget to send the feedback form to a participant. The form is available here: https://forms.gle/wBKD7zFfhA4ppmzA6
Presenter First Name
Your answer
Presenter Last Name
Your answer
Presenter Contact Email
Your answer
School or Organization Name
Your answer
City
Your answer
State
Your answer
Position
Date of Presentation
MM
/
DD
/
YYYY
Type of Presentation
How many people were presented to?
What value do you believe this visit from Operation Smile presented to your audience?
Your answer
Did the presentation/experience leave the audience with a better understanding of the following skill sets/topics? Check all that apply.
Please leave any additional comments or feedback.
Your answer
Once again, thank you for bringing Operation Smile to your community and we look forward to working with you again in the future.
If you have any additional questions or would like to speak with an Operation Smile Student Programs staff member, please feel free to reach out to us at student.programs@operationsmile.org.
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