Education & Events
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Resources Evaluation Form
To get started, please enter your name and your email address.
Date of Event
Title of Person/people providing education with resources
Number of hours spent providing education
Number of people reached
Please indicate your organization type and specify in the box below your agency name and/or section
University or College
Local Public Health Unit
Public or Private Primary School
Health Care Facility
Federally Qualified Health Center
Briefly describe the event or activity
Describe Activity Response, including but not limited to: Your response of resource use and effectiveness, participant response, etc.
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NORTH DAKOTA DEPARTMENT OF HEALTH