Resource Parent Speaker Bureau Event Follow-Up

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Submitted By: Name*
First Last
Date*
MM slash DD slash YYYY
Submit to embrella within 5 business days following speaking engagement.
Date*
MM slash DD slash YYYY
Arrival Time*

: Hours

Minutes

AM/PM
End Time*

: Hours

Minutes

AM/PM
Location
Street Address Address Line 2 City State ZIP Code
Approximate Attendance*
Enter approximate number*
embrella Staff DCP&P workers Fost/Adopt families Other (Please specify)
Summary of Event*
EVALUATION: (please comment on the event location, participants, hosting agency, etc)
Strengths*
Areas of Improvement*
Recommendations*

embrella Staff	DCP&P workers	Fost/Adopt families	Other (Please specify)

Submit to embrella within 5 business days following speaking engagement.

EVALUATION: (please comment on the event location, participants, hosting agency, etc)