Marin Census 2020 Partner Tracking Form

Tracking for completed census activities

Reporter Name*
First Last
Organization Name*
Parent Organization*
Activity Type*
Activity Start Date (required)*
Date Format: MM slash DD slash YYYY
Activity End Date (optional)
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Description
Event Name
Primary Organizer*
Additional Organizers
Total Impressions*
Impression Data Accuracy Confidence*
Total HTC% Impressions*
HTC Data Accuracy Confidence*
HTC Group Engaged
HTC Breakdown Data Confidence*
Funding Source*
- United Way Bay Area
- Northern California Grant Makers
- County Grant
- Private Funding
- Others