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.)