America 250 NC Bag Stats
Please complete this form by the 15th of every January, April, July, and October to report the number of patrons who have utilized your Educational Activity Bag.
Name of Institution
*
Name of Contact Person:
*
Contact Email Address
*
example@example.com
Select Quarter
*
January - March
April - June
July - September
October - December
Number of patrons who borrowed a bag (taking it outside of your institution)
Number of patrons who utilized bag in house (inside of your institution)
Number of public programming events in which you used the bag contents
Please provide feedback on the America 250 NC Educational Activity Bag project
*
Submit
Should be Empty: