Student Engagement Feedback Form

Name of Society/Group/Student *:

Name of Student Preparing Feedback Form *:

Student Number *:

Contact Number *:

Email Address *:

Activities Start Date *:

Activities End Date *:

Area Visited:

Province *:

Town/City *:

Description of area *:

School Information:

Name of School and Contact details *:

Name of school and Contact details:

Name of school and Contact details:

Name of school and Contact Details:

Name of school and Contact Details:

Engagement Information:

Motivational - Description of activities/participants:

Recruitment Drive - Description of activities/participants:

Subject Assistance - Description of activities/participants:

Community Presentation - Description of activities/participants:

Arranged Exhibition - Description of activities/participants:

Online Application Assistance - Description of activities/participants:

Financial Aid Information - Description of activities/participants:

Providing general recruitment information including Applicant Score Information - Description of activities/participants:

Should you be attending any exhibition or any other community engagement, kindly complete the section below

Name of Exhibition:

Name of organizers:

Contact details of organizers:

Details of exhibition participants:

Number of Learners per grade:

Grade 9:

Grade 10:

Grade 11:

Grade 12:

Other Participants (e.g. Unemployed youth, graduates):

Impact of Target Audience

Provide a brief description of how activity impacted on the learners or stakeholders *:

Frequently Asked Questions

List some of the frequently asked questions:

Will you be doing any other similar engagements in future? *:

Would you like to receive any news, information regarding further Communication and Stakeholder Liaison initiatives:

Other Comments and Observations:

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Anti Spam *: