Big Watch Host Evaluation

*1.

Please provide the following information:

Your name:
Your email:
Organization:
Town of organization:

*2.

Program sponsors REQUIRE documentation of these events. Please upload documentation of your events in the format of videos, images, sound clips, written notes, quotes from participants, etc. At least one upload is required.

By submitting documentation, I agree that this media will be shared with sponsors and may be used publicly. I agree that all media uploaded has the consent of its' subject to be publicly displayed.

	OR	Drag and drop a file here	(No file chosen)
Allowed file types: PDF, DOC, DOCX, TXT, ODT, CSV, XLS, XLSX, ODS, GIF, JPG, PNG

Additional Comments

Remaining characters: 1000

3.

Please provide a list of any in-kind expenses that supported these events. New Hampshire Humanities uses in-kind support to secure funding for events like these.

In-kind funding examples:

Staff wages for planning and working event
Volunteer hours (amount of hours x $29.95/hour)
A local restaurant donates food for the event
The event venue offers a discounted rental fee
Your organization pays presenter mileage for a Humanities to Go program

	Expense description (ex. Staff wages, 2 hours @ $25/hr)	Expense amount
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense
TOTAL EXPENSES:

*4.

Please share how you used the $300 stipend to support your community programming. Check all that apply.

	Humanities to Go presenter honorarium
	Speaker fee (for a non-Humanities to Go presenter)
	Staff salaries
	Food
	Materials for program
	Publicity
	Venue fee

	If other, please specify
	Remaining characters: 1000

*5.

Please provide the following information about attendance at your events.

Attendance at film screening & discussion:
Venue capacity for film screening & discussion:
Attendance at community event(s):
Venue capacity for event(s):

*6.

Please select the top three ways that the Big Watch benefitted your organization:

	Strengthened our organization’s place within the community.
	Brought together a varied audience beyond our normal constituency.
	No-cost programming and stipend allowed our organization to offer more programming than we normally could.
	Strengthened our relationship with partner organization(s).

	If other, please specify
	Remaining characters: 1000

*7.

Please select the top three ways that the Big Watch benefitted your community:

	Connected residents with people and ideas from beyond our immediate community.
	Trained facilitators allowed community members to conduct thoughtful and civil discussions.
	Gave residents the opportunity to interact with each other.
	Allowed participants to engage in a larger, statewide commemoration of the 250th anniversary.

	If other, please specify
	Remaining characters: 1000

*8.	Please reflect upon the film screening and discussion. What was the impact upon your community? Note any moments of significance, or personal reflections from participants about their experience. 2-3 paragraphs appreciated.

	Remaining characters: 4000

*9.	Please reflect upon the community event(s). What was the impact upon your community? Note any moments of significance, or personal reflections from participants about their experience. 2-3 paragraphs appreciated.

	Remaining characters: 4000

*10.	Please reflect upon your experience working with a community partner for the Big Watch. What worked well? What was challenging? What was the impact upon the program?

	Remaining characters: 4000

*11.	A goal of the Big Watch is to reach an intergenerational audience. Please describe the result of your efforts to reach an intergenerational audience.

	Remaining characters: 4000

12.	What advice, suggestions, or constructive feedback would you have for a future statewide Big Watch?

	Remaining characters: 4000

13.	Is there anything else you would like to share about your experience that we didn't ask?

	Remaining characters: 4000

*14.	I certify to the best of my knowledge and belief that the report is true, complete, and accurate. All media uploaded has the permission of the subject(s) to be publicly shared.

	Yes No