Health Fair Planning Template Pack Page 24

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Appendix E
Exhibitor’s Information Tally Sheet
Please return to _____________ (health fair coordinator)
Name of organization: ___________________________________________________________
Contact person: ________________________________________________________________
Phone: _______________________________________________________________________
E-mail: _______________________________________________________________________
Service provided: _______________________________________________________________
Number of volunteers involved: ___________________________________________________
Number of hours each volunteer participated at health fair: ______________________________
Hourly rate per hour of volunteer time (Independent Sector, 2010, rate $21.36/hour): _________
Health Screen Name
Number Administered
Cost per Screening
Health Advice Provided
Number of Conferences
Cost per Conference
Giveaway Items
Number of Items
Cost per Item
Educational Handouts
Number Distributed
Cost per Handout
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Parent category: Business