Government Outreach Event Reporting Form

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Details of Government Outreach Event, Meeting, or Call

*1. What is your Name?

*2. What is your Email Address?

*3. ASHRAE Chapters Participating:

*4. Region:

*5a. Date of the Event:

*5b. Location of the Event:

*5c. Engagement Type:

*6a. Total Number Of ASHRAE Member Volunteers:

*6b. Names of ASHRAE Member Volunteers:

*6c. Total Number of Government Officials Contacted:

*6d.Names and Job Titles of all Government Officials Contacted

*7. Total Number of Meetings Held :

*8. Other Events (i.e. Engineers Week) or Other Organizations Involved:

Meeting Information Upload

9. Please fill out the Meeting Information excel sheet and upload here (one line per meeting):

Upload Excel Document

Upload .zip file of photographs

Upload vido file (30MB max. If the file is larger than 30MB, please email GovAffairs@ashrae.org to receive a Dropbox link.)

Additional Meeting Information (optional)

10. What did you find most successful? Least successful?

11a. Are there issues or outcomes that were identified during the event that ASHRAE needs to follow-up on? (If so, please list action items)

11b. Are there issues or outcomes that were identified during the event that provide opportunities for further engagement (If so, please list topic areas)?

12. How does the Chapter plan on maintaining relationships with the staff or elected officials with whom you met?

13. Is there anything further that you would like to share about your Government Outreach Event?

14. This is a reoccurring meeting

Please be advised that after pushing submit you will not be able to re-access this form. If you would like a copy for your records, save this page and/or push the {PrtScr} button.