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* 1. Please Complete:

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* 2. If your school or youth group ordered campaign materials, briefly describe how the materials were used. If you made or used other materials, briefly describe the item(s) and how you used it for campaign purposes.

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* 3. Provide an estimated number of educational materials your school or youth group distributed during the campaign (Ex: buckle up cards, handouts students made, etc.)

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* 4. Student Leadership:

Give an estimated total number of club members/students who led or planned the Arrive Alive campaign activities and Creative Project (if one was completed). *Please ONLY enter numerical data, no words.

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* 5. Student Participation:

Give an estimated total number of STUDENTS who actively PARTICIPATED in an activity and/or attended an educational program or event (includes students who stopped by a display table for information, attended a presentation, signed a pledge, drove/rode through the seat belt checks, etc.) *Please ONLY enter numerical data, no words.

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* 6. Total Reach:

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* 7. Student Recruitment and Meetings

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* 8. If your school or youth group completed a Creative Project, please use the space below to describe the Creative Project in detail.
If your school or youth group did not complete a project, type N/A.


Include the traffic safety topic your project addressed, how you used the Arrive Alive theme and artwork, how club members/students were involved in developing and implementing the project, when the project took place, how many students participated in or saw/heard the project, how the project was creative, what donated resources were used (including any donations by the school), any results you measured or observed through surveys, pledges, etc., and any other information to make your project clear to the judging panel. The Creative Project will be judged on content, student involvement, and creativity - so please detail this information as much as possible.

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* 9. Creative Project Reach:
*If your school or youth group did not complete a Creative Project, please type "0" for both responses below.

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* 10. Overall rating:

Please rate the peer-to-peer Arrive Alive campaign provided by the YOVASO staff based on its quality, creativity, ease of implementation, and engagement of the teen audience.

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* 11. Survey Wrap Up:

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