Government Outreach Event Reporting Form
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Details of Government Outreach Event, Meeting, or Call
1. Name:
2. Email:
3. ASHRAE Chapters Participating:
4. Region:
Choose One
REGION I
REGION II
REGION III
REGION IV
REGION V
REGION VI
REGION VII
REGION VIII
REGION IX
REGION X
REGION XI
REGION XII
REGION XIII
REGION XIV
REGION AT-LARGE
5a. Date of the Event:
5b. Location of the Event:
Choose One
In-Person Large Group (4 or more members)
In-Person Small Group (fewer than 4 members)
Virtual
Other
5c. Engagement Type:
Choose One
Local
State
Federal
Global
6a. Total Number Of ASHRAE Member Volunteers:
6b. Names of ASHRAE Member Volunteers:
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?
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.