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Please complete this form if you have
participated in any public relations event
as an Arkansas RD or DTR
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Type of Event |
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Name of Organization |
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Name of contact person |
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Date of Event |
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Location of Event |
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Length of Event |
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Audience Reach or Circulation Number |
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Population Reach |
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Topic(s) Discussed |
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Brief Description of Content/Activity |
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How did you get involved in this event? |
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What type of materials were displayed or handouts given away? |
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Were you identified as a Registered Dietitian/Diet Tech Registered? |
Yes No |
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How? (Introduction, name tag, byline, etc...) |
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Copy of event information emailed or mailed to ArDA Exec Sec (videotape, newspaper article, promotional literature, etc.) |
Yes No |
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Follow-up done by RD/DTR/ArDA or need for follow-up |
Yes No |
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Describe: |
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Would you be willing to share your script/ideas/presentation/resources with other ArDA members who are working on the same type of event? |
Yes No |
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Please describe what was/will be the impact of the event to the audience as well as to ArDA? |
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Your Contact Information |
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Contact Name |
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Address |
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City |
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State |
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Zip |
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Work Phone |
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Email |
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FAX |
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