WEAAD Data Walk Sign-Up Form
Thank you for you interest in the WEAAD Senior Data Walk!
Sign in to Google to save your progress. Learn more
Name of organization *
Type of organization *
Describe your organization's connection to the senior community. *
Data category (Limited to two providers per topic on a first come, first serve basis. Topic options below will be updated as they are claimed.) *
Contact Person *
Contact Phone Number *
Contact Email *
Do you have an additional person who can be a table discussion leader? (separate from data station) *
Additional person's name
Additional person's phone number
Additional person's email
What to Expect -- Data Walk Guidlines

1. Data should be produced by your organization and involve your work with seniors.

2. No more than 2 sets of data

3. Data should be presented in a way that is easy to view and understand (we will provide suggestions on how to make data easy to view for seniors)

4. Size of poster should be no less than 24x30 or 30x24.

5. Provide name and description of organization, logo and an 8.5 x 11 copy of your poster by May 15 at 5:00 p.m. to be included in event Data Book

6. At least one person must man your organization’s data station

7. Provide one YES/NO survey question for feedback from seniors

8. One six foot table and 2 chairs will be provided

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms