AAUW Title IX Resources Delivery Report Form

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Thank you for delivering Title IX resources to schools near you. Let us know how it went so we can spotlight all of your amazing work! Contact advocacy@aauw.org with any questions or concerns.

Name *

Your first and last name.

Email address: *

Role / title:

If you are affiliated with AAUW, your role and/or title:

State: *

Branch:

If you belong to an AAUW branch, which one:

College or University:

If you are currently a student, please let us know what school you attend.

What school did you deliver the Title IX resources to? *

Please list 1 school. If you delivered the resources to more than 1 school, you can provide the information about the additional schools at the end of this form or you can submit a separate form for each school.

Where is this school located?

City, State

How did you deliver the Title IX resources. *

Mailed the Title IX resources to the school.

Dropped the Title IX resources off at the school.

Met with a school official and delivered the Title IX resources.

Other:

Date of activity:

On what date did you deliver the Title IX resources?

YYYY

If you met with a school official please share their name and title.

If you met with a school official please share their email address.

I also did the following things to help publicize the new Title IX resources.

Check all that apply. Include activities your branch or other AAUW organizations completed.

Invited a local Title IX coordinator to speak at an AAUW event.

Invited a local Title IX coordinator to join AAUW.

Sent new Title IX resources to a school superintendent.

Wrote a letter to the editor about the new Title IX resources.

Other:

Other attendees at the event.

List the other participants in the Title IX resource delivery.

Were pictures taken of the delivery?

Yes

Clear selection

If pictures were taken, have you emailed them to advocacy@aauw.org?

Please share any relevant photos, along with the names and roles of the people in the photos.

Yes

Not yet, but will submit

No, will not submit

Other:

Clear selection

If you delivered these resources to additional schools, please list them here. Please include the Title IX Coordinator's name and contact information.

You can also submit a separate form for each school by visiting http://bit.ly/T9DeliveryReport again.

Other.

Include anything else you would like to share about the delivery.

What would make the delivery easier and more effective next time?

Submit

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