Campaign Activity Report Form

Please provide the information requested below to record your campaign event, activity, or training.

Contact Name *

Campaign Role *

Contact Email *

Contact Phone *

Agency/Command *

Please enter your Installation name here (and your unit name if applicable).

Date of Event *

Month

Day

Year

Time of Event *

Hour

Minute

End time of the Event *

Hour

Minute

Type of Event *

Select One

Kickoff

Training

Special Event

Other

Description of Event

Please provide a brief description of your activity, training, or event (e.g., talent show, bake off contest, CFC briefing, leadership speech, makeup training for Keyworkers, etc.)

Expected Number of Attendees

Event Address Line 1

Enter the location of the event.

Other Notes or Special Requests

1 Start 2 Complete

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Campaign Activity Report Form