Use this form to report partnership activities. Keeping APS updated on your volunteer activities helps us to support your partnership better and to track the overall impact alumni club partnerships are having on the Chicago Public Schools.
* indicates a required field
* First Name: * Last Name:
* Alumni Group: Select Group Alpha Phi Alpha Amherst College Beloit College Boston College Bowdoin College Brown University Cornell University Dartmouth College Duke University Harvard University Howard University Indiana University Keller Graduate School of Business Kellogg Black Alumni Club Kellogg Black Management Association Knox College Miami University of Ohio MIT Morehouse College Northwestern University Penn State University Princeton University Purdue University Smith College Southern Illinois University at Carbondale Spelman College Stanford University Stillman College Texas Southern University Thunderbird Tougaloo University of Chicago University of Illinois Urbana-Champaign University of Iowa University of Michigan University of Notre Dame Williams College Yale University Other
* Which alumni group?:
* Email: * Phone: e.g. ###-###-####
Please approximate if you are unsure of an activity detail.
* Date of Activity: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2006 2007 2008 2009 2010 (if this activity happened more than once, please enter the date of the first occurrence)
* Frequency of Activity: One-Time Weekly Monthly Quarterly Other
If repeated, How many total occurences?: 1 2 3 4 5 6 7 8 9 10+
If other than those listed, How frequently?:
* Type of Activity: Career Day Field Trip History Fair Literacy Night Math Night Mentoring School Beautification Science Fair Speaker Tutoring Other
If the activity was a Career Fair, What careers were represented?:
If the activity was a field trip, Where did you go on the trip?:
If the activity involved beautification, What was the beautification project?:
If the activity involved a speaker, What was the topic of the speech?:
If tutoring was involved, What subject(s) did the tutoring include?:
* If other than the activities listed, What activity?:
* Number of volunteers involved: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15+
Number of CPS staff involved: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15+
Please provide a short description of the format of the activity:
What went well? What could have been improved?:
Were there any costs associated with the activity? Yes No
If costs were involved, Please describe any fundraising or donations involved in the activity:
Page updated 10 November 2008
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Julie Braeutigam, Project Manager · Department of External Resources and Partnerships Chicago Public Schools · 125 South Clark Street, 11th Floor · Chicago, IL 60603 · Phone: (773) 553-1549 · Fax: (773) 553-1541 Site updated 30 June 2008 © 2008 Alumni for Public Schools
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