Community Development Activity Form

 
* Required information
Today's Date: *
Name: *
Hall: *
Activity Title: *
Type of Activity: *
Activity Date: *
Location of Activity: *
Start Time of Activity: *
End Time of Activity: *
# of Students Present: *
# of Students from Your Floor Present: *
Description of Activity: *
Were the goals of the activity achieved? Why or Why Not?: *
What improvements would you make to this CDA?: *
Would you recommend another staff member try this activity? Why or Why not?: *
Cost of the Activity & Source of Funding: *
Additional information that the Programmer of the Month Committee should know: *