Great job on your recent Rising Leader activity! We love to hear about all of your hard work and awareness efforts, so after you complete your activities please send over all of the information!

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* 1. Please enter your contact information.

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* 2. Year of Youth Ambassador Rising Leader Training.

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* 3. Date of Activity.

Date / Time

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* 4. Chapter/Support Group

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* 5. Description of Activity.

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* 6. Venue Location.

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* 7. Number of Attendees.

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* 8. Comments/Special Outcomes.

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* 9. If you have any pictures of the activity, upload them here.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 10. If applicable, please include the link to any video, news media or article written about the activity. 

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* 11. Did you distribute the community evaluations?

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