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Public Health Chapter Speakers' Bureau - Online Speaker Evaluation Form
SCSU/PUBLIC HEALTH ALUMNI CHAPTER
PUBLIC HEALTH ALUMNI SPEAKERS' BUREAU

Welcome to the Online Public Health Alumni Speakers' Bureau Evaluation Form for Speakers!

Your input is appreciated!

Just complete this form. Click on Submit when ready to send.

July, 2000 - You can now submit your annual speaker evaluation online!
Before completing, make sure your computer can process this. Submit a sample form with Test Form. If you get a Thank you, then come back and submit this. Thanks!

Directions: This form allows you to rate your experience and offer comments and suggestions for improving the program. I would like to make sure that the program is fulfilling its intended mission. Thanks!

SPEAKER:

THE SPEAKERS' BUREAU IS AN IMPORTANT SERVICE PROGRAM

HOW WOULD YOU CHANGE THE SPEAKERS' BUREAU?:

QUESTIONS, COMMENTS, SUGGESTIONS, ETC.:

I _______ CONTINUE AS AN ALUMNI SPEAKER.

Town, State, Zip:

(AREACODE)Work Phone:

(AREACODE)Home Phone:

E-mail:

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Published on the Web: July 22, 2000; February 20, 2001 R30

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