N-PASS SITE VISIT FORM by zn4qok8

VIEWS: 3 PAGES: 1

									                                          N-PASS CBO Site Visit Notes

Site Visit Date ________ Community Agency: _____________________
Observer:______________________________________________________________
Curriculum: _____________________________Activity # or name ____________________
Program Leader(s) [PL(s)] ______________________________________________________
Did the PL(s) attend the training? Yes                       No 
Participants: # of Girls ____ # of Boys____ Approx age range:______________________

1. Set-up for activity




2. Introducing the activity




3. Leading the activity




4. Discussing the activity




5. Closure to activity




    Please return a copy of this form to Goodman Research Group, Inc. 955 Massachusetts Ave. Suite 201 Cambridge, MA 02139
                                                       Attn: Katie Franich

								
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