ActivityRpt1718.Instruction.doc - CALIFORNIA STATE LIBRARY LIBRARY SERVICES AND TECHNOLOGY ACT(LSTA INSTRUCTION ACTIVITY REPORT FORM(Attach this form to

ActivityRpt1718.Instruction.doc - CALIFORNIA STATE LIBRARY...

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CALIFORNIA STATE LIBRARY LIBRARY SERVICES AND TECHNOLOGY ACT (LSTA) INSTRUCTION ACTIVITY REPORT FORM (Attach this form to the Final Program Narrative Report after it is completed) Grant Information 1. Library Jurisdiction: 2. Project Title: 3. Grant Award Number: 40- 4. Fiscal Year: Activity Information 1. Activity Title: 2. Brief Activity Abstract: 3. Delivery Format: In-person Virtual Combined In-Person and Virtual Other (describe below) Other Description: 4. Program: If you chose Program as the instruction activity mode, enter the quantity information below. Session length – (minutes) 0 Number of sessions in program 0 Average number in attendance per session 0 Number of times program administered 0 5. Presentation/Performance: If you chose Presentation/Performance as the instruction activity mode, enter the quantity information below. Presentation/performance length (minutes) 0 Number presentations/performances administered 0 Average number in attendance per session 0 1
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6. Consultation/Drop In/Referral: If you chose Consultation/Drop In/Referral as the instruction activity mode, enter the quantity information below. Total number of consultation/reference transactions 0 Average number of consultation/reference transactions per month 0 7. Other: If you chose Other as the instruction activity mode please describe the mode. Partner Information 1. Please identify the area(s) in which your partner organization(s) operates. Libraries Preschools Historical Societies or Organizations Schools Museums Adult Education Archives Human Service organizations
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