MSPN After-Activity Form

Network and Lead Info

MSPN Network*

QBID

Your Name*

Email Address*

Please use an email address linked to PayPal for reimbursement. Please submit this activity form within 48 hours of each event.

Your MSPN Role*

Event Date*

Number of Attendees*

How many employers were represented at this event?*

Employers*

Please list any participating employers/organizations.

Employer Contact Info

Please list the names and email addresses for any representatives to allow HOH HQ to follow up as needed.

Highlights, Lessons Learned, and Recommendations*

Event Budget Used*

Describe the Event Expenses*

Receipts

For any reimbursement needed, please attach your receipts here. Please note: all reimbursements MUST be approved in advance by HOH Staff.

Drop files here or

Did any partner donate items for the event (ex. venue, drinks, food, etc)? If so - what is the estimated value of donation(s)?