Completed By:
Date:

Admissions and Outreach Activity Report

Event Information:

to

Estimated Attendance: Estimated Interactions:
Leads (VIP Cards):
Community College High School Senior
High School Junior Middle School
Other
Expenditures:
Activity Narrative/Evaluation:
Recommendation For Future visits:
Please Rate Activity:
Horrible Bad Neutral Alright Great

Requested:

Services Provided:

Table #1: ft. -- Table #2: ft. -- Table #3: ft. -- Table #4: ft.
Other:

Requestor's Information: