Participant Scorecard Submission

Students enrolled in EXCEL, hosted by University of Missouri Extension in Greene County, may submit their points and project information using this survey.

Overall, how would you rate your experience with EXCEL so far??

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* 1. Overall, how would you rate your experience with EXCEL so far??

Your name

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* 2. Your name

Name of event, project or experience you are reporting on.

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* 3. Name of event, project or experience you are reporting on.

Date and location of the event you are reporting on or when you completed this activity.

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* 4. Date and location of the event you are reporting on or when you completed this activity.

Provide here a brief (400 words or less) narrative on the lessons learned in community leadership from this event or activity:

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* 5. Provide here a brief (400 words or less) narrative on the lessons learned in community leadership from this event or activity:

A contact name and phone/email for that contact regarding your involvement with event or activity being reported on.

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* 6. A contact name and phone/email for that contact regarding your involvement with event or activity being reported on.

Based on the scorecard, what is the point total for this activity.

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* 7. Based on the scorecard, what is the point total for this activity.

By clicking yes, you certify that this is a truthful and complete report

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* 8. By clicking yes, you certify that this is a truthful and complete report

Is there anything else you’d like to share about the current EXCEL program?

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* 9. Is there anything else you’d like to share about the current EXCEL program?

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