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Outreach activity database - public activity
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Outreach activity database - public activity
Please fill in this short webform to ensure a record is kept of your activity.
Your name
*
Activity date
*
Day
Day
1
2
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4
5
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9
10
11
12
13
14
15
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Month
Month
Jan
Feb
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Apr
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Jul
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Dec
Year
Year
2016
2017
2018
2019
2020
Venue
*
Activity type
*
Talk
Show
Workshop
Stall at an event
Resource
Other...
Activity type Other...
Please tick all that apply.
Activity title
*
Partner organisation / further detials about event
Total No. of audience members (please provide an estimate if you are not sure)
*
Number of hours dedicated to travel and the delivery of the activity (for the staff database)
Questionnaire provided
*
Yes
No
