Please Complete & Submit Within ONE DAY of Activity

1. NAME OF ACTIVITY:

2. TYPE OF ACTIVITY:

3. TOPIC OF ACTIVITY:

4. DATE(S) OF ACTIVITY:

Start Date
/
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End Date
/
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6. LEVEL OF ACTIVITY:

7. WHAT HANDS-ON SOFTWARE OR HARDWARE DID THE ACTIVITY INCLUDE?(Please check all that apply)

8. LOCATION OF ACTIVITY:

9. GEOGRAPHIC COORDINATES OF ACTIVITY (see below):

WEB SITE FOR FINDING GEOGRAPHIC COORDINATES: (copy & paste into your web browser)
http://edcommunity.esri.com/maps/index.cfm#

10. CONTACT INFORMATION FOR ACTIVITY AT INSTITUTION OR CONFERENCE:

14. OUTCOME OF ACTIVITY (check all that apply):

16. YOUR CONTACT INFORMATION (person completing this form)

THANK YOU.

Phil Davis
pdavis@delmar.edu

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