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Home / Public Information / Nuclear Professionals / Member Outreach / Communication Toolkit / Report Your Efforts

ANS has created this simple form for our members to report their outreach efforts and record information of elected officials, journalists, teachers, or students with whom they discuss the benefits and value of nuclear science and technology.

Fields marked with a red asterisk (*) are required.

* ANS Member (National):
Yes
No
* Local/Student Section Member:
Yes
No
Did other ANS members volunteer at this event?
Yes
No

Event Information

* Please indicate the topics you discussed during your meeting: Check all that apply.

Radiation Basics
Time, Distance, and Shielding
Half-Life
Radiation Dose Limits
Detecting Radiation (Geiger Counters)
Careers in Nuclear
Applications of nuclear technologies (space, medical, industry, consume, agriculture, power, etc.)
Assistance to Foreign Atomic Energy Activities (10 CFR Part 810 or "Part 810")
Section 123 of the Atomic Energy Act/ "123 Agreements"
Clean Power Plan
C02 emissions/Climate change policy
Linear No Threshold (LNT) Theory
Nuclear Energy/Power
Fuel Cycle (front end)
Fuel Cycle (back end)
Waste Management
Other topic (s), please list

* Target Audience: Check all that apply

K-8 Students
9-12 Students
Boy Scouts
Girl Scouts
K-8 Teachers
9-12 Teachers
General Public: not specified
General Public: Young adults (ages 18-34)
General Public: Females: (ages 35-55)
General Public: Males: (ages 35-55)
Policy-Maker(s)
Media
Others, please list

* Estimated Attendance #

* Did you use ANS branded public education materials, presentations, or toolkits at your event?
Yes
No

List other partnerships or sponsors of the events:


What was your overall impression of the attendees' attitudes about nuclear science and technology?

Negative
Undecided
positive

What evidence do you have that this event had an impact?


Additional Comments:


Please Note: You will have the option to submit attachments and additional information after submitting this form.

Last updated July 16, 2014, 7:32am CDT.

 
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