Post Program Report

    Facilitator Name*
    Email*
    FacID*
    Program Date*
    Client*
    ProgID*
    Number of Participants
    Actual agenda/timeline and specific activities presented*

    Observations (bullet points: Include overall program and team dynamics as well as reflections from each activity)
    OPTIONAL Attachment: Upload additional supporting document (e.g., in case of formatted texted or more detailed report to share with client):

    How did you find out about AAI?

    Facilitation Experience

    Please check the most accurate description of your skills and experience with each of the following.
    Ctrl + click to select multiple

    MBTI
    DiSC
    Sailing
    Orienteering
    GPS
    Indoor Rock Climbing
    Ropes Course
    Logistics

    I am a US Coast Guard certified sailing instructor. YesNo
    I can set a temporary orienteering course. YesNo
    I can set a GPS course. YesNo
    My Standard First Aid/CPR training is current. YesNo
    My Standard First Aid/CPR training expires (mm/dd/yy):
    I am EMT trained and my training is current. YesNo

    Please list your affiliations with professional and/or recreational affiliations, associations and training certifications (for example, AEE, ASTD, etc.)