A r c h i v e d  I n f o r m a t i o n

Making Information Work for You - 1997

SAMPLE EVENT LOG

Site: ___________________________ 

Recorder: _______________________ 

Date recorded: __________________ 
 

Using this form, please describe: (1) actions taken to bring about changes in the community that are related to your collaborative's goal(s) and (2) changes in programs, policies, and practices that are related to the goal(s).

Date (M/D/Y)

Event  

Describe the event in detail. Include:

a. Why is it important?
b. What happened as a result?

Description  

a. Who was involved?
b. What organizations collaborated? 
c. What community sector or objective does 
this relate to in the plan? 
d. Was this the first time this event occurred?













Please send this form to the evaluators by the first Friday of every month.  

Source: Adapted from Fawcett (1994), p. 24.

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[Sample Encounter Log] [Table of Contents] [Explanation of Resources Obtained]