TALK Discussion Leader Evaluation

Discussion Leader Evaluation

Discussion leaders should fill out this evaluation after each TALK book discussion.
Name*

First NameLast Name
Book Discussed*
Host Organization and City*

OrganizationCity
Event Date*

MonthDayYear
Date
The book discussion took place*

In PersonOnline
Estimated Audience Count*
How would you describe the audience participation?*

Lively and engaging discussion took place; good give and takeSome good questions were asked and a few comments offeredVery limited interaction; audience seemed hesitant to speak upComments:
How would you rate the arrangements made by the host organization and the facilities?*

ExcellentGoodFairPoorComments:
Reflections or stories from the experience:
Please share an anecdote or two from this experience. Answers may potentially be use on our website and promotional materials.
Did you take any photos while you were at the event or on the road? Upload them here!

Photos may potentially be used on our website and promotional materials.
Cancelof
Please choose one:*

Please reimburse me for the total amount.I’d like to include a donation to Humanities Kansas.
I would like to donate $ Amount of this stipend back to Humanities Kansas.
Humanities Kansas, Inc. is a 501(c)(3), and your contribution is tax deductible to the extent of the law. HK’s Federal Tax ID number is 48-0800085.

As an investment in Humanities Kansas, I hereby donate the amount indicated above to be used by Humanities Kansas in support of the organization.
Signature

Clear

Should be Empty: