Program Evaluation Worksheet
RA Name
*
First Name
Last Name
RA Name
First Name
Last Name
If there are more than two RAs, please list full names of the others
Program Title
*
Date
*
-
Month
-
Day
Year
Date Picker Icon
Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Location
*
Number of Attendees
*
Were Your Program Goals Achieved?
*
What Went Well?
*
What Would You Have Changed?
*
How Effective Was Your Marketing Plan?
*
Feedback from Residents
*
Please upload three photos from your event:
Photo 1
*
Photo 2
*
Photo 3
*
Submit
Should be Empty: