Graduation Pledge Reporting Form

Graduation Pledge Annual Report

School Name:

Address:

City:

State:

Zip code:

Current contact name:

Current e-mail:

Current telephone:

Contact's name for next year:
(More then one person can be a contact and receive campaign updates from Abby Fuller.)

Contact's e-mail for next year:

Contact's telephone for next year:

Departments, organizations or programs
that sponsor the Graduation Pledge:

Total student population (approximate):

Approximate number of graduating seniors:

Number of seniors that signed pledge:

Pledge activities you did this year:

Pledge materials used (e.g. ribbons, cards)

List any media you received on or off campus
(and URL if you have that):

List of pledge signers with their most permanent e-mail addresses:
(For those willing to be contacted in the future, mainly to help them meet their pledge commitment. Please include only names that have e-mail addresses.)
This list can also be e-mailed to njwollman@manchester.edu.

Please direct questions and comments to Neil Wollman at njwollman@manchester.edu.