Program/Community Service Project Evaluation Form

Make A Difference

This form must be submitted to the Director of Student Activities to receive credit for this project.


    *Name of Organization, Club, Class or Individuals Responsible:
    *Type of Event (be specific):
    *Location:
    *Day(s) and Date(s):
    *Time(s):
    *Organization/Cause Receiving Service:
    *# of Students Participating:
    *Advisor's/Instructor's Name:

    Please write a narrative explaining the accomplishments and/or failures of this event.



    Would you do this program again? Yes No