Special Olympics Minnesota philosphy and Vision

Global Messenger Speech Report

Global Messengers: Fill out this form for every presentation you make. When you have completed and submitted the form, please send a copy of your speech via e-mail or U.S. post. Mailing and address information will follow after the form is submitted.

You can also download (Microsoft Word) a copy of the report to complete and send to:

Heather Harmer
Special Olympics Minnesota
100 Washington Avenue South Suite 550
Minneapolis, MN 55401
Fax: 612.333.8782
harmerh@somn.org

* denotes required fields

Speech and Contact Information
*Global Messenger's Name:
*Area Number:
*Team Name:
*Email Address:
Mentor's Name:
Mentor Attended With Me:	Yes No other
*Date of Speech:	(month/day/year)
*Location of Speech:
*Group Presented To:
Group Contact Person:
Group Contact Phone:
*Number of People in Audience:	(approximate number)
Speech Length:	(in approximate minutes)

Speech Details
(MUST include: Target market, call to action and speech topic. SHOULD include end result/audience reaction.
For example: Donation received, volunteers recruited, additional speaking engagements set up, etc.)

Ideas to incorporate into my future speeches

*I will be sending a copy of my speech via: E-mail U.S. Postal


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