Outreach Activity Tracking Form

African Studies faculty and students engage in various outreach activities in the course of the academic year. The African Studies Program needs to track such activities for the purpose of Title VI reporting. In order to facilitate our Title VI reporting process, we would like to ask our faculty and students to use this electronic form to record their outreach activities.

If you have any trouble sending this form, please download the form at http://www.iub.edu/~afrist/outreach/Outreach_Tracking_Form.xls and send as an email attachment to Osita Afoaku (ascharfe@indiana.edu) or via campus mail to Woodburn 221 (Woodburn Hall 221, Indiana University, Bloomington, Indiana 47405-6001).


Presenter's Name:

Email:

Type of Activity:

Date, Time, & Place:

Type of Audience (e.g., teachers, students, church group, etc.):

Number of Participants: