About You

Your Name:
First: Middle Initial: Last: Suffix: Sr.Jr.IIIIVV

Your Phone:

Your E-mail:

About the Nominee

Organization Name:

Organization President:
First: Middle Initial: Last: Suffix: Sr.Jr.IIIIVV

Phone: E-mail:

Hometown: Local Newspaper:

About the Event

Event Name:

Type of event (check all that apply):

Educational
Social
Multicultural
Leadership
Community Service

Event Date:

Event Location:

Is this an annual event?    Yes     No

How many students attended?

How much did the event cost?
Please provide documentation to the Office of Campus Activities, 001 Creese Student Center

How much did the organization make from this event?
Please provide documentation to the Office of Campus Activities, 001 Creese Student Center

How was the event advertised?
Please provide documentation to the Office of Campus Activities, 001 Creese Student Center
(As there is no spell check on this form, it may be helpful to compose your response using Word
or other word processing application, then paste your response in this space)

How does this event further enhance the mission of the student organization?
(As there is no spell check on this form, it may be helpful to compose your response using Word
or other word processing application, then paste your response in this space)

Other comments/Notes: