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Impact and Evaluation Report

Presentation on behalf of the Southeast Asia Program

* Title:  
* Presenter:  
Email:  
* Presentation Date:  
Presented to:  
Student Activity Account Number:  

If you do not know your Student Activity Account Number please send a copy of this report to Terry Ector at TLE2@cornell.edu.

She in turn will inform Wendy Treat at wgt2@is.cornell.edu of your account number and SEAP will transfer the co-sponsorship funds approved in advance by our Director. We hope that this will speed up your payments.

Please give a brief description of your presentation:

How many students attended your presentation?

On a scale of 1 to 5 (1 being poor 5 being excellent) how did your audience react to your presentation?
  1     2     3     4     5  
Comments:

On a scale of 1 to 5 (1 being poor 5 being excellent) how did would you rate your experience on this occasion?
  1     2     3     4     5  
Comments:

Will you be available to do a presentation for SEAP outreach in the future?
  Yes     No  

How can SEAP outreach staff help facilitate your presentations in the future?

What areas/topics would you be interested in discussing with K-12 students in the future?

What age range/grades would you be interested in working with in the future?