Ambassador Reporting

All fields marked with * are required.

Name

Make It OK Ambassador Reporting:

As an Ambassador we want to hear about what activities you've completed to be included in our statewide evaluation report. Download Make It OK Activity Template HERE

First Name: *

Last Name: *

Start Date of Reporting *

End Date of Reporting *

Quarterly Reporting Upload

Additional Feedback | Comments:

Questions or Concerns?

jami@iowahealthieststate.com

Jami Haberl, MPH, MHA
Executive Director
Iowa Healthiest State Initiative
301 Grand Avenue
Des Moines, IA. 50309