| TELL US ABOUT IT |
| Did you find these Campaign Safe & Sober Planner materials useful? How did you use them? Do you have suggestions for future planners? Let us know by returning the postage-paid card included in this kit or by visiting our Web site at www.SafeandSober.org. We want to tell your story in the next planner. |
The National 3D Prevention Month Coalition is interested in hearing about your 3D Prevention Month activities. Please complete this Brag Sheet so that we can learn firsthand about your activities, and complete the feedback section on the opposite side so we can learn how to serve you better.
Three grants of $500 each will be awarded via random selection as the Coalition’s thank you for taking the time to complete this form. Note that the feedback section must be completed in order to be eligible for a grant.
In Spring 2000, the National Highway Traffic Safety Administration (NHTSA) will publish the 3D Exchange, a collection of stories about programs and events culled from these Brag Sheets. Describe your most innovative program in detail and your organization may be chosen to receive national attention and publicity.
Please fax or mail your submission to:
- National Commission Against Drunk Driving
1900 L Street, Suite 705
Washington, DC 20036-5002
Fax: 202-223-7012
BRAG SHEETS MUST BE RECEIVED NO LATER THAN JANUARY 30, 2000.
| Please type or print all responses: | ||||||
| Name of Organization | ____________________________________________________ | Address | _____________________________________________________ | City | ________________ | State _____ | Zip _______________ |
| Phone | ______________ | Fax | ______________ | E-mail ______________ | ||
| Contact Person _______________ | Title ________________________ | |||||
On a separate piece of paper, please provide the following information:
- Write a brief description of your organization’s mission.
- List the organizations that took part in your 3D Prevemtion Month campaign.
- Briefly describe the theme and target audience for your campaign.
- Briefly describe your most innovative activity for possible use in the 3D Exchange.
(If selected, you will be contacted for further information.)
3D MONTH PREVENTION ACTIVITIES
Please check all that apply and use a separate piece of paper to include any additional information.
| Public Information | |
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Distributed broadcast public service announcements |
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Distributed collateral materials |
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Other (describe on a separate piece of paper) |
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| News Conference | |
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Participated in national and local news conferences to announce 3D Prevention Month |
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Held news conference to announce National Holiday Lifesavers Weekend |
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Other (describe on a separate piece of paper) |
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| Special Events | |
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Participated in National Lights On For Life Day |
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Participated in National Holiday Lifesavers Weekend |
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Conducted Red Ribbon of Memories Campaign |
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Other (describe on a separate piece of paper) |
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| School-based Activities | |
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Assemblies |
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Poster contests |
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Held a traffic safety conference |
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Other (describe on a separate piece of paper) |
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| Law Enforcement Activities | |
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Sobriety checkpoints |
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Increased enforcement |
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Saturation patrols |
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Multi-jurisdictional enforcement |
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Other (describe on a separate piece of paper) |
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| Employer-based Activities | |
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Vans and buses to transport employees from holiday parties |
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E-mails to remind employees not to drink and drive |
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Posters and other reminders about safe driving during the holiday season |
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Other (describe on a separate piece of paper) |
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| Transportation Alternatives | |
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Holiday Rides Program |
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Increased mass transit service |
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Designated driver programs |
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Other (describe on a separate piece of paper) |
PLANNER FEEDBACK
Please take a moment to complete this portion of the feedback form. We need your input. This will help us in the development of future planners. Use an additional sheet of paper if necessary. Remember that the following must be completed in order to be eligible for a grant.
- What has been the most helpful/useful section(s) of the planner?
- What has been the least useful?
- What can we include next year to better support your local efforts?
- What ideas do you have that can be included in next year's planner?
- Have any of your 3D Prevention Month activities continued throughout the year? Which ones?
- How can we help you sustain your impaired driving efforts throughout the year?
Comments and/or suggestions
Please send me information about receiving future planners.
Name:_________________________________________________________
Title:___________________________________________________________
Organization:____________________________________________________
Address:_________________________________________________________
City:__________________________State:______Zip+4:________________
Phone:______________________________Fax:_________________________
email:___________________________________________________________
Please feel free to contact NCADD or the 3D Prevention Month Planning Committee at NHTSA. We would like to hear from you.
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