Program Evaluation Form from Simpson College

 
 
 

Simpson College
Residence Life Activity Proposal Form

Name _______________________________  Hall_________________  D/T/L_______/_______/_____

Activity ____________________________  Type    NB       P       S   3 Goals:  1) ____________________________

Brief Description ________________________________________________  2) ____________________________

_______________________________________________________________  3) ____________________________

Estimated Cost ____________  Source(s) of Funding _______________________________________________________

Equipment _______________________________________________________________________________________
Activity Planning Timeline
_______  ________________________________________________________________________________________
_______  ________________________________________________________________________________________
_______  ________________________________________________________________________________________
_______  ________________________________________________________________________________________

AC Signature _______________________________________________________________  Date _____________

Activity Evaluation Form

Total Number Attending _______ Males_______ Females _______ Faculty_______ Admin/Staff _______

Overall Impression    1    2    3    4    5    6    7    8    9    10  Why? ______________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________

Strengths? _______________________________________________________________________________________

Weaknesses? _____________________________________________________________________________________

Who helped you on this event? How? ____________________________________________________________________
________________________________________________________________________________________________

Additional Comments: _______________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________

What is the next activity on your plate? __________________________________________________________________

When/Where will this take place? ______________________________________________________________________

RA Signature __________________________________________________________________ Date______________

AC Signature __________________________________________________________________  Date______________
 
 

The content on these pages was originally provided by Brian C. Steinberg, the founder of http://www.theallygroup.org and http://www.safezoneforall.com (Creater of the previous: http://www.residencehalldirector.com)

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