Athlete Leadership Report Form

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* 1. First and Last Name

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* 2. Date of Event

Date of Presentation

Date

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* 3. Organization or Event you participated

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* 4. Location of Event

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* 5. Approximate number of people in attendance

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* 6. What was your role in the event?

Speaker

Greeter

Meeting (Board, Input Council, Committee)

Fundraiser

Other (please specify)

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* 7. Do you have any questions, concerns or follow-up needed to be done after this presentation?