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 and if the goals met the area(s) of Wellness you checked:
Briefly describe the program and its most successful aspects:
Please check all forms of publicity used for this program **(Please forward any flyers/advertisements used to Matt Samuelson or place copies in the Grissom Hall mailbox. Thank you):
 

Page modified 10/20/10