Department of Student Life

Pre-Program Questionnaire
for Student Organizations

Organization Name:  
Contact Name:  
Contact Position:  
Contact Email Address:  
 
Name of Program/Event:  
Date(s) of Program/Event:  
  NOTE: You may enter multiple dates if the event is repeated.
Location of Program/Event:  
 

 
 1) Purpose of the Program/Event - please be as detailed as possible:

 
 
 2) What do you want the attendees to get out of your Program/Event?

 

 3) How many people do you expect to attend?
 
 4) What are some of your anticipated learning outcomes from this Program/Event?

 
 
 5) What are some of the educational components of this Program/Event?

 
 
 6) How will this Program/Event support the mission of Student Life?

 
 

Be prepared to print the confirmation page
when it appears after you click "SUBMIT".

After you print the page, you should sign it and submit the completed form to your organization's advisor. To submit this form for separate but similar events (and save some time), click the [back] button on the next page, which will return you to this page and change the information above to reflect each additional request. This must be done after you click the submit button below for each request, or existing information will not be saved.