Activity Kit Report Form

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Activity Kit Report Form

Activity Kit Report Form

Contact Information
Name*
First Last
School/Organization:
Type of Organization*
Organization Address:*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Event/Activity Information
Presentation Location/Event

Example: school name, park name, festival name
Presentation Address
Street Address Address Line 2 City State ZIP Code
District of Presentation Location
- District 1: Natasha Harper-Madison
- District 2: Vanessa Fuentes
- District 3: Sabino "Pio" Renteria
- District 4: Jose "Chito" Vela
- District 5: Ann Kitchen
- District 6: Mackenzie Kelly
- District 7: Leslie Pool
- District 8: Paige Ellis
- District 9: Kathie Tovo
- District 10: Alison Alter
- Outside Austin City Limits
Activity Kit Report
Day of Event:*
MM slash DD slash YYYY
Event Type:
Total Number of Participants:*
Did you use the kit(s) at any additional events not listed above? If so, please name all events and locations.
Please indicate which Activity Kits you used.
Generation Zero Waste - made possible by Austin Resource Recovery*
- Compost Critters
- Recycle Relay
- Landfill Logic
- Waste Audit
- What's in the Landfill Hole?
Don't see your activity kit listed? Describe your activity kit
Review
Please rate the following from 1 to 5. 1 = the lowest or strongly disagree; 5 = the highest or strongly agree.
The lesson plans were easy to follow.
- 1 (strongly disagree)
- 2
- 3
- 4
- 5 (strongly agree)
I had all the supplies needed for the activity.
- 1 (strongly disagree)
- 2
- 3
- 4
- 5 (strongly agree)
The activities were appropriate for the age group participating.
- 1 (strongly disagree)
- 2
- 3
- 4
- 5 (strongly agree)
I did/will lead a service project component in conjunction with the activity kit(s).
- 1 (strongly disagree)
- 2
- 3
- 4
- 5 (strongly agree)
Please elaborate on any of the above ratings.
Please rate the following from 1 to 5. 1 = the lowest or strongly disagree; 5 = the highest or strongly agree.
I would lead an activity kit lesson again.
- 1 (strongly disagree)
- 2
- 3
- 4
- 5 (strongly agree)
My kit request was responded to in a timely manner.
- 1 (strongly disagree)
- 2
- 3
- 4
- 5 (strongly agree)
I had a positive overall experience using this resource.
- 1 (strongly disagree)
- 2
- 3
- 4
- 5 (strongly agree)
I would recommend this program to someone else.
- 1 (strongly disagree)
- 2
- 3
- 4
- 5 (strongly agree)
Please elaborate on any of the above ratings.
We would love to feature how you used the activity kits on social media and for marketing efforts. Please briefly describe how you used the activity kits and what you enjoyed about them.
Do you have any suggestions for improvements to the activities you used or additional topics you would like to see?
Comments:
We'd love to see photos of your kit in action! Upload any photos here. If you have more to share, please email them to education@keepaustinbeautiful.org.
Max. file size: 50 MB.
Max. file size: 50 MB.
Max. file size: 50 MB.

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Activity Kit Report Form

Activity Kit Report Form

Contact Information

Event/Activity Information

Activity Kit Report

Please indicate which Activity Kits you used.

Review