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Personal Economics Program (PEP)
PEP Reporting Form
Attention Bankers: In order to keep an accurate count of students contacted, it is VERY IMPORTANT that you fill out this form after each presentation. This form will go directly to PEP State Chairman.
General Information
Your County:
Your Full Name:
Your Bank's Name:
Your Bank's City:
Your Email Address:
Teacher's Name & Grade:
Date of Presentation:
School or Group Name & City:
No. of Students/Adults Contacted:
Your Work Phone:
Type of Audience (check one)
Elementary School
Middle School
High School
College
Adult
Other
Presentation Setting (check one)
Classroom
School Assembly (large group)
Career Day/Career Fair
Youth Community Group Meeting
Adult Community Group Meeting
Other
Your Bank's Asset Size (check one)
Under $25 million
$25 million - $49 million
$50 million - $99 million
$100 million - $499 million
$500 million and over
Presentation Materials (please write below the title and number of the film, video, speech or other materials used):
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