2022 YOVASO Drive for Change: Buckle Up and Slow Down Campaign Evaluation

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* 1.
Please Complete:

Name of School or Youth Group:

Adult Contact (should be individual assisting students with the campaign):

Total or Estimated Current Enrollment at Your School (if applicable):

If you have pictures, videos, or other files from activities your school or your youth group completed during the campaign, please indicate how you will submit them to YOVASO (i.e. email, tagging YOVASO on social media, etc.)

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* 2. **Please provide a numbered list of activities and programs your school or youth group completed during the month of December (if any). Remember even simple activities count including making announcements, displaying posters, banners, etc.

Your numbered list should look like this example:**
1. Created our own Buckle Up posters and displayed them around the school.
2. All club members posted a speed prevention message on their Instagram account.
3. Participated in our local holiday parade

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* 3. If your school or youth group ordered campaign materials, briefly describe how the materials were used. Please be sure to also provide an estimated number of buckle up reminder cards, activity sheets and Halloween activity books that were distributed. If you made or used other materials, briefly describe the item and how many of each were distributed.

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* 4. Student Leadership:

Give an estimated total number of club members/students who led or planned campaign activities:

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* 5. Student Participation:

Give an estimated total number of students who participated in an activity and/or attended an educational program or event (i.e. students who shared information on social media about seat belt use and/or speed prevention, participated in a safe driving program like ScanEd: Physics of a Crash, signed a buckle up pledge, etc.)

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* 6. Total Reach

Students Reached:
Give an estimated total number of students who heard or saw the campaign message through announcements, social media, banners, poster displays, your educational activities, etc.

Community/Public Reached:
Give an estimated total number of the community/public who heard or saw the campaign message:

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* 7. Student Recruitment and Meetings

Recruitment
Did you hold an event or activity to recruit new students to join your club or youth group?

Recruitment
Did you recruit new students? If yes, how many?

Meetings
How many club meetings did you hold during the Drive for Change campaign?
Please include meetings held in September, October, November, and December.

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* 8. Overall Rating:
Please rate the peer-to-peer Drive for Change campaign provided by the YOVASO Staff based on its quality, creativity, ease of implementation, and engagement of the teen audience.
*Please note you are rating the campaign, materials, and resources provided by YOVASO, not your club's participation.

Excellent

Above Average

Average

Below Average

Poor

Excellent

Above Average

Average

Below Average

Poor

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* 9. Survey Wrap Up:

Briefly explain what you liked most/least about the Drive for Change campaign:

Did you like that this campaign was a 3-month long campaign?

Did you find the monthly checklists to be helpful in completing activities?

Do you have any suggestions for the YOVASO Staff to help improve a future Drive for Change campaign? Please share your ideas!

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* 1. Please Complete:

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* 4. Student Leadership:

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* 5. Student Participation:

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* 6. Total Reach

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* 7. Student Recruitment and Meetings

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* 9. Survey Wrap Up:

* 1.
Please Complete: