CCE Education, Outreach, and Capacity Building Participation Form
If you have pictures or videos from your event, please send them to Robin Westlake Storey (rwestlakestorey@ucsd.edu).
Your Name *
Your answer
What is your position within CCE? *
Who else from CCE helped you with this outreach activity? *
Your answer
When did this outreach activity take place? *
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DD
/
YYYY
Title of your outreach activity *
Your answer
Please describe your outreach activity. *
Your answer
Target audience *
How many people did you serve? *
If you know the exact number served, please enter it in the other category below.
How was this outreach activity evaluated? *
Your answer
What was your budget for this activity? *
Where did the funding come from? *
Your answer
How much time did you spend on this outreach activity? This includes preparation and implementation time. *
Your answer
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