2019 Operation Smile Presentation Tracker
This submission form is used to record presentations completed for upgrading membership within an Operation Smile Club. To reach the next level, members must complete five presentations.

After all completed presentations, please do not forget to send the feedback form to a participant. The form is available here: https://forms.gle/wBKD7zFfhA4ppmzA6 
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Presenter First Name
Presenter Last Name
Presenter Contact Email
School or Organization Name
City
State
Position
Clear selection
Date of Presentation
MM
/
DD
/
YYYY
Type of Presentation
Clear selection
How many people were presented to?
Clear selection
What value do you believe this visit from Operation Smile presented to your audience?
Did the presentation/experience leave the audience with a better understanding of the following skill sets/topics? Check all that apply.
Please leave any additional comments or feedback.
Once again, thank you for bringing Operation Smile to your community and we look forward to working with you again in the future.
If you have any additional questions or would like to speak with an Operation Smile Student Programs staff member, please feel free to reach out to us at student.programs@operationsmile.org.
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