Outreach Report Form Outreach Report Form Date Volunteer/Staff Name*Event/Org*Name of the event or organization.Hours*Number of hours working outreach. Please enter two decimal points when recording half hours. For example: 1.50# Disclosures*Audience DemographicsUnless gathered though evaluation materials or audience's disclosures, this data is based on assumptions.Table Visitors*If this was not a tabling opportunity please enter 0 into this field.Audience #*Number of people in audience for speaking engagement. If you did not speak at an event please enter 0 into this field.# Males*# Females*# Trans*-Identified*# Youth*# Adults*# Black*# White*# Latinx*# American Indian*# Asian*# Bi/Multiracial*# People w/ Disabilities*Materials DistributedCheck all of the OV materials disseminated at event. In paragraph below, list the numbers of all materials distributed. (e.g. 50 English OV brochures)Type of Materials Distributed:OV English BrochuresOV Spanish BrochuresOV Human Trafficking BrochuresOV Prevention BrochuresBar Outreach BrochuresFJC BrochuresOV English Business CardsOV Spanish Business CardsOV Buttons/PinsRibbon StickersOV Coffee TumblersOV Water BottlesOV Bendee SticksOV Stress BallsOV SunglassesOV KoozyOV ChapstickOV PensHold "ctrl" to select multiple optionsNumber of Materials DistributedOf the materials selected above, list the number of each material distributed (e.g. 50 OV English brochures)Amount of DonationsYou do not need to include a $ sign.T-shirts sold Price: $20.00 Quantity: Number of t-shirts sold.