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Program of the Month Nomination Form

Program of the Month Nomination Form

Title of the Program*
Date of the Program*
Time*
Location*
Person(s) who planned the event*
House or Hall*
Attendance*
Cost of Program*
Funding Source(s)*
Area of Wellness Program Addressed (Check all that apply) Social
Briefly Describe the goals of the program and how the goals met the area(s) of Wellness you checked:
Briefly describe the program:
Give two reasons why you deem this program successful:
Please check all forms of publicity used for this program:
 

Page modified 1/11/08