Site Coordinators are asked to complete this "form" as often as necessary to report attendance or participation information related to the exhibit or Special Events scheduled in conjunction with the exhibit.  Please submit the report for each separate planned event if possible.  Also, you may need to estimate attendance, and if so, please indicate whether the reported attendance numbers are actual or estimated.  Finally, feel free to distribute this form to other appropriate individuals to obtain participation or attendance numbers (for example, if select kiosks from the exhibit are sent to a library or secondary location, feel free to ask an individual at that location to complete the form.

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* 1. For which state are you reporting?

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* 2. Date or date range for reported event or exhibition:

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* 3. Name of event (if it is a special event, otherwise type Exhibit)

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* 4. Describe the event (public lecture, family festival, live-stream from ship, etc.)

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* 5. Approximately how many individuals attended?

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* 6. Event location was primarily:

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* 7. What was the approximate duration of the event? (30 minutes, 1 hour, etc.)

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* 8. Approximate number of staff who worked during the event (excluding setting up and taking down the exhibit)?

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* 9. Approximate number of volunteers who worked during the event (excluding setting up and taking down the exhibit)?

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* 10. Approximate proportion of attendees who were children?

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* 11. Approximate proportion of attendees who were adults?

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* 12. Please list any specific groups or organizations that attended the event.

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* 13. Approximate proportions of attendees who were male and female?

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* 14. Which ethnicities were represented in the attendees (check all that apply)?

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* 15. How many JRON Scientists or Teachers participated in the event?

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* 16. Approximately how many volunteers were adults and how many were teens?

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* 17. Check which components of the exhibit were available during this event or exhibition (check all that apply):

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* 18. Approximately how many people helped with setting up the exhibit, and how long did it take? Please also note whether this was a complete exhibit set up or partial.

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* 19. Comments about the event or location:

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* 20. Other comments for future sites to consider:

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