Dentistry
Medicine
Public Health
AlliedHealth
Nursing
Graduate Studies
LSUHSC School of Allied Health
Community Outreach Form
Project/Event Name
Project Coordinator
Phone Number
Email Address
Department
Audiology
Cardiopulmonary Science
Clinical Laboratory Sciences
Human Development Center
Occupational Therapy
Physical Therapy
Physician Assistant
Speech-Language
Clinical Rehab & Counseling
OutreachCategory
School
Academic
Public Health Education/Promotion
K-12/STEM Education
Conference/Event
Other
Activity Provided
Educational Activities
Screening
Other
Event Date
Location
Time
Other Organizations/Partners
Brief Description of Project and Services Provided
Number of Student/Resident Participants
Number of Faculty Participants
Number of Participants
Were photos taken?