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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