RA Name:
Date: (dd/mm/yyyy)
Co-Sponsorship: Please choose one Yes No
Program Title:
Category:
Program Date: (dd/mm/yyyy)
Program Time:
Program Location:
Target Population:
Actual Attendance:
Actual cost of program:
Your Contribution:
ATTACH RECEIPTS OF ALL FUNDS USED AND A COPY OF ADVERTISEMENT USED
Materials, items, speakers... and actual cost of program:
Co-Sponsorship actual contribution: Where the contribution and responsibilities fulfilled as expected:
Evaluation of the program (positive and negative aspects):
Did this program meet your objective and expectations? How?
What student needs were met?
Would you conduct this program again? What would you change, if anything, and why?
Was your publicity effective? How? (if not what would you change)
Pro-Staff Attendance:
RD Attendance:
RA Attendance:
Faculty / Admin / Staff attendance:
RD Comments, feedback and suggestions:
