MASFEC Data Submission Form MASFEC Event/Activity Submission Form All MASFEC Staff and partners should populate this form to record all MASFEC Activities. MASFEC Agency Name*CPLANDESEENBFCSNPIQENAFSCEWestEdName and Short Description of Event/Activity?*Date of Event/Activity? Month Day Year How many times does this Event/Activity take place within the Grant Year? 10/1-9/30*(Eg. One-time event=1, Weekly=52, Monthly=12, Quarterly=4, Etc.)Type of Event/Activity?* Technical assistance Online training (webinar, Facebook Live, etc.) Social Media postings (blog, Twitter, Facebook, etc) Planning Meeting In-person Training Board/Committee meeting Did you partner with any other organizations on this event?NoYesIf yes, Name of the Organization(s) (OBJ 1.2) What is your Role in this Event/Activity?* Attendee Organizer Presenter If Organizer or Presenter, who was your audience: (choose all that apply) State Agency (GPRA 2, OBJ 1.1, OBJ 3.4) School/School District (GPRA 2, GPRA 5) Parent/Family Members (GPRA 3) Number of participants who identified as parent/family members? (GPRA 1)Please enter a number greater than or equal to 0.Number of participants who identified as professionals (GPRA 1)Please enter a number greater than or equal to 0.Does this event fall under any of the following categories? (choose all that apply): Reciprocal communication between Schools and Families (OBJ 2.3 and 3.2) Literacy (OBJ 3.3) School Choice/School Improvement (OBJ 2.1) Did you conduct an evaluation? (GPRA 4, GPRA 6, OBJ 2.3, OBJ 3.3) No Yes *Yes, but I do not have the data available at this time *If you have data but need to send it later, please be sure to: 1. Email the info to Danielle and Cambria when it becomes available and 2. Provide the Name and Date of the Event listed on this form.If yes, Please upload the data here: Drop files here or Select files Max. file size: 50 MB, Max. files: 5. Please list which Communities were represented in this Event/Activity. (OBJ 2.2)(Towns, Affinity Groups, Etc.)Please list which School Districts were represented in this Event/Activity. (OBJ 3.1)Additional Comments?