Program Evaluation Form - Urbana University

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Urbana University
Office of Campus Life
PROGRAM EVALUATION FORM
RA’s Name: ________
___________________
Today’s Date:________________
Program Name: __________________________________________________________
CHARACTER Area (Circle one)
(Culture/Diversity)
(Health)
(Academic/Professional)
(Relationships)
(Art/music)
(Community Service)
(Target)
(Emotional)
(Religious/Spiritual)
Date: ___________ Time: ____________ Location: __________________________
1. Explain what took place at the program:
2. How did you advertise for this event?
3. What were the goals of this program?
4. Outcomes (# of participants, participant reaction):
5. What worked well?
6. What would you do differently next time?
Program Evaluation Approved
Program Evaluation Not Approved
Director’s signature: ________________________________ Date:____________

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