Community Partners Year End Report of Program Event/Activity Participation

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1. Name of Organization:

Name of Organization:

2. Type of Organization

Type of Organization   Non-Profit For Profit

3. Contact Person

Contact Person

4. Title

Title

5. Number of Events Held

Number of Events Held

6. Date Events Held

Date Events Held

7. Brief Description of Each Event

Brief Description of Each Event

8. Total Number of Girls Attending Events

Total Number of Girls Attending Events

9. Number of Program Activities Held

Number of Program Activities Held

10. Date Program Activities Held

Date Program Activities Held

11. Brief Description of Each Activity

Brief Description of Each Activity

12. Total Number of Girls Attending Activities

Total Number of Girls Attending Activities

13. Comments

Comments

14. We would like to continue to be a Community Partner

We would like to continue to be a Community Partner   Yes No