Program Name:
Program Date(s):
Your Contact Information
Community Partner Contact Information First Name: Last Name: Email Address:
Key Contact First Name: Last Name: Email Address:
Program Description Please describe the program (what happened?)
Program Structure
Who made things happen and what were their tasks?
Timeline
Volunteers Include names and email addresses for all volunteers.
What was the purpose of your program?
What was the best part of your program?
How did you advertise?
How could your advertising have been better?
How were your volunteers used? Give specific assignments that you gave the volunteers.
What went well during the program?
What needs improvement?
Budget Please list your expenses for the following areas: Advertising: Equipment: Food: Supplies: Transportation: Other:
Recommendations Changes to the program description, changes to the program structure, additional contacts that might be helpful, changes to the budget (does the program need more or less money and why), changes to the timeline, etc.
Forms Email all forms to Mike at mikemoon@weber.edu. Include examples of waiver forms, applications, and evaluation forms from participants, or any other pertinent information.
Publicity Email all originals of fliers, press coverage, etc. to Mike at mikemoon@weber.edu. Also, include any pictures.
Upon the successful completion of this form, you will be automatically directed to the VIP page. You will contacted regarding this form within 2 to 3 business days.
