Illinois Rail Safety Week 2018 Activity Tracking Education Efforts
Please have only 1 person from your organization report total numbers for your entire staff after data has been compiled - 1 officer per department, 1 teacher per school, 1 person per agency.
Email address *
Name of organization/department *
Your answer
First name of person completing this form on behalf of your organization *
Your answer
Last name of person completing this form on behalf of your organization *
Your answer
What is your work email address in case we need to contact you?
Your answer
What is your work phone number in case we need to contact you?
Your answer
How many presentations were given on rail safety? (Teachers/presenters please consider how many times it is covered in a single class, then multiply times how many classes are in the program for the year.) *
Your answer
How many posters/signs were displayed? *
Your answer
How many flyers were distributed? (Anything sent out via newspaper, community mailer like water bill, schoolwide or districtwide mail) *
Your answer
How many banners were displayed? *
Your answer
How many marquee signs showed safety messages? *
Your answer
Number of press conferences held? *
Your answer
Number of press releases issued? *
Your answer
Number of internet based announcements? (facebook, twitter, website, community or district wide email) *
Your answer
Number of radio announcements? (could include school announcements or PA at sporting events) *
Your answer
Number of television outlets? (could include school news shows) *
Your answer
Number of other handout items? *
Your answer
Total number of hours dedicated to education? *
Your answer
Which of the following best describes your profession? *
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This form was created inside of Indian Prairie School District.