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Salon - Report Back
Tell us how it went!
Thank you for hosting a salon screening. Please complete the form below. We’ll showcase your stories in a report that will capture the impact of our work towards positive change for women and girls.
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瞭解詳情
* 表示必填問題
Contact Information
Name
*
您的答案
Organization
您的答案
Email
*
您的答案
What was your role?
*
您的答案
How did you find out about salon screenings for A Path Appears?
*
Check all that apply.
PBS Station
NGO
Community Cinema Event
Social Media
其他:
必須填寫
Event Information
Event Venue
您的答案
City
*
您的答案
State
*
您的答案
Event Date and Time
*
月份
/
日期
/
年份
時間
:
上午
下午
Number in Attendance
*
您的答案
What issue(s) did you address?
*
Check all that apply.
Sex Trafficking
Poverty & Early Childhood Intervention
Teen Pregnancy
Forced Child Labor
Gender-based Violence
Successes and Solutions
其他:
必須填寫
What content did you screen?
*
Check all that apply.
Sex Trafficking in the U.S.
Early Childhood Intervention
Teen Pregnancy
Forced Child Labor
Gender-based Violence
必須填寫
Please list any local organizations or speakers represented at your salon.
*
您的答案
Stories of Impact
Briefly describe your salon. What were your goals and objectives? What situation in your community were you hoping to address? What was the discussion like?
*
您的答案
Who attended your salon? Who were the target audiences for engagement, and who turned out for the event?
*
Describe using attributes such as age, gender, ethnicity, role in your community, geography.
您的答案
Share your major successes and outcomes from the salon. Were there specific changes in knowledge, attitude, and behavior among those in attendance? Do you plan to take action as a group? If so, what are your plans?
*
您的答案
Did you take photos and/or video during your salon and would like to share them with us? If so, please email them to
womenandgirlslead@itvs.org
or tag them with A Path Appears.
*
Please note: ITVS will follow-up with a photo/video release form allowing ITVS to use the photos and/or video in ITVS promotional materials.
Yes, I will email my salon photos to
womenandgirlslead@itvs.org
.
Yes, I will tag my images with A Path Appears.
I do not have images and/or video to share.
必須填寫
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