Protecting Utah Kids
REPORTING FORM

Program Information

First Name
Last Name

Email

School
District

Number of Students Taught:

Date Program Taught:
Parent Night Date (if scheduled):
Number of Parents Taught (if schuduled):
Do you feel the students benefited from the program?
Was the curriculum easy for you to use?
Did you feel you had been trained well enough to present this information to the students?
After the program, do you think the students felt more confident in knowing how to keep themselves safe both on and off the Internet?

Comments or suggestions about the program: