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PROGRAMMING EVALUATION
Office of Residential Life

Program Housing

Staff Member Last Name  
Staff Member First Name  
Staff Member Position  
Staff Member Area  
Date of Program   format: MM/DD/YYYY
Program Title  
Program Presenter  
Was a faculty member present?  
First and last name of faculty member    
Faculty member's department  
Total Cost of the Program   format: 10.10
Total Attendance of the Program  
When did the program occur?  
Did this program occur before or after 9pm?  
What type of program was this?  
Was this program active or passive?
(passive =bulletin board, flyer campaign, condom boxes etc.)		  
What key capability was addressed?  
How was key capability addressed?  
How would you rate the success of this program?  
Any comments about this program?