Program Evaluation Summary

AAFP & AAFP Foundation FMIG Network Funding Initiative

* Note: completion of all sections is required.

Medical School:

Presentation or Project Date:

Presentation or Project Title:

Type of Program or Project:

Presenter(s):

Total Number of Attendees:

# M1:

# M2:

# M3:

# M4:

# Faculty:

Please describe the presentation or project (100-200 words):