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* 1. Please Complete:

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* 2. Describe in detail your Creative Project ONLY. Include the traffic safety topic your project addressed, how you used the Arrive Alive theme and artwork, how club members/students were involved in developing and implementing the project, when the project took place, how many students participated in or saw/heard the project, how the project was creative, what donated resources were used (including any donations by the school), any results you measured or observed through surveys, pledges, etc., and any other information to make your project clear to the judging panel. The Creative Project will be judged on content, student involvement, and creativity - so please detail this information as much as possible.

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* 3. Please provide a numbered list of up to 15 Call to Action activities and programs your club completed for this campaign aside from the Creative Event. Be sure to include your most creative activities and programs first. (Remember even simple activities count including making announcements, displaying posters, banners, etc.) If your school completed more than 15 activities you may list them, but ONLY the FIRST 15 activities will be counted in judging.
Your numbered list should look like this example:
1. Created our own Arrive Alive posters and displayed them around the school
2. Passed out the "What to Do After a Crash" cards we received from YOVASO
3. Hosted an "Arrive Alive" door decorating contest between classes

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* 4. Briefly describe how the campaign materials were used and give an estimated number of 'What to Do After a Crash' cards, Buckle Up/Slow Down cards, sunglasses, and stickers 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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* 5. Student Leadership:

Give an estimated total number of club members/students who led or planned the Arrive Alive campaign activities and Creative Project. (Please ONLY enter numerical data, no words.)

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* 6. Student Participation:

Give an estimated total number of STUDENTS who actively PARTICIPATED in an activity and/or attended an educational program or event (includes students who stopped by a display table for information, attended a presentation, signed a pledge, drove through the seat belt checks, etc.) Please ONLY enter numerical data, no words.

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* 7. Creative Project Reach:

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* 8. Total Reach:

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* 9. Overall rating:

Please rate the peer-to-peer Arrive Alive campaign provided by the YOVASO staff based on its quality, creativity, ease of implementation, and engagement of the teen audience.

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* 10. Survey Wrap Up:

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