Please complete this form within a week of any events your NCHS Club hosts on your campus or within your community. This form can be completed by either a club leader or advisor. 

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* 1. High School

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* 2. City

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* 3. County

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* 4. Adviser Main Contact (s)

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* 5. Date of Event

Date

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* 6. What kind of advertising did you do for this event?

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* 7. Was this event virtual or in-person?

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* 8. What is the name of your event? Give a brief description of the goal of the event.

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* 9. Did you collaborate with other organizations? If so, what was their role?

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* 10. Did you collaborate with another NCHS Club?

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* 11. Were any NAMI affiliates represented? List all that attended/contributed to the event and their roles.

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* 12. Estimated number of attendance

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* 13. Describe ways that outreach to diverse communities was enhanced. 

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* 14. What are some of the outcomes from your event?

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* 15. What were some successes and challenges that came with the event? How will you use this to improve for following events?

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* 16. What were some quotes from participants (students, teachers, parents, school staff, etc.)?

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* 17. Please upload some pictures from the event. Photos provided may be used to promote the NCHS program in advertising materials like flyers, social media posts, or presentations. 

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