Create - LSUHSC Community Outreach

Community Outreach Form

Project/Event Name

Project Coordinator

Phone Number

Email Address

Event Date

Time

Location

Brief Description of Project and Services Provided

Number of Student Participants

Number of Faculty Participants

Number of Patients Served

OutreachCategory

Were photos taken?

Program

Objectives

Expected Outcomes

Core Values

Strategic Map Correlation

Service Provided

Please elaborate the service provided:

LSUHSC School of Nursing