ENGAGE Contest Entry Form

 
Please use this online form to submit an entry to PRB's ENGAGE Kindle contest, describing how you used a PRB ENGAGE presentation. Please be sure to answer all required questions. Each complete entry received by May 31, 2012 will be entered into our contest. Five winners will be selected in June 2012.
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1. First name (given name):
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2. Last name (family name):
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3. Email address:
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4. Please re-enter your email address for accuracy:
5. Organization:
6. Job title:

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7. Which presentation did you use?
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8. Date presentation given:
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9. In what country did you use the presentation?
10. What was the name of the event where you used the ENGAGE presentation?
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11. Who organized this event?
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12. Briefly describe the purpose of this event:
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13. Approximately how many people were in the audience?
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14. Please provide a brief description of the audience profile (tell us what kind of people were in the audience, such as students, medical professionals, religious leaders, or local officials).
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15. Which version of the presentation did you use (live or voice-over):
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16. Why did you choose to use this presentation for this event?
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17. Please provide a summary of the audience reaction, and/or a description of any discussion that followed the presentation:
18. Were there any outcomes from this event? Examples of outcomes might be that audience members made commitments to support family planning programs or asked to use this presentation in another venue. Outcomes can also include things that happened after the presentation was given, such as media coverage.
19. If there are any online resources associated with this event, such as a conference program or media coverage, please provide a working url (website address) here:
20. Is there anything else you want to tell us about this event or about how you used the ENGAGE presentation?
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21. How did you learn about this presentation?
22. Please re-enter your email address here if you wish to sign up for PRB email updates:
If you have any documentation of this event that you wish to submit to PRB, please do so by sending an email with the subject line “ENGAGE Contest” to idea@prb.org. Be sure to include your name and the name and date of your event in the email. Please note that we are not able to accept emails with attachments greater than 9MB.

Thank you for your entry!
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