May Owen, MD, Outreach Program Report

May Owen, MD, Outreach Program Report
May Owen, MD, Outreach Plan

Thank you for participating in the May Owen, MD, Outreach Grant Program, and for providing female physician-oriented programs and activities to your county.

Please submit this brief report providing a Final Financial Report summarizing actual expenditures with receipts, the attendee list, brief follow-up summary, and photos of your event. We appreciate your participation and hope you will apply for the grant next year!

Event Name
Event Date

MonthDayYear
Date
Event Time
Event Location
Type of Event
Final Financial Report and Receipts

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Should include Final Financial Report and receipts Cancelof
Attendance Report

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Should include the full name and email address for each physician attendee Cancelof

Responses below will help us evaluate the success of the grant and market it in the future:
Brief follow up summary
Provide a brief overview of your event
Event Photos

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Cancelof
Was the grant criteria easy to understand and the directions easy to follow?
Were the resources, such as sample fliers and emails, helpful to you?
Did the attendees provide positive feedback on the evaluation form?
Would you apply for the May Owen, MD, Outreach Program again in the future?
Additional comments:
Should be Empty: