National Residence
Hall Honorary/Associated Residence Halls
Program of the Month
nomination form
Month_________________________
Program
Title ____________________________________________
Program
Category (circle one):
Educational /
Social / Community Service / Diversity
Person(s) in charge of
Program ____________________________________________________
Phone____________________ Campus Address ___________________________________________
Detailed description of program:
Target population of
program (in numbers): _________ Number
in attendance: ___________
Number of people needed
to organize program: ______ On campus population: __________
Time needed to organize:
____________________ Date of program: ______________
Cost of program:
___________
Origin of program:
Goals of program:
Positive and lasting
effects of the program:
Evaluation of the
program:
What makes the program
unique from what is done at other schools?
How could this program be
adapted to other campuses (consider finances, resources, labor, etc.)?
What was the quality of
the program?
Nominator
________________________________________
Address/phone
_________________________________________________________
Thank you for your nomination!
Please
return to: Allison Laub at the Burge Front Desk by the
5th of the month following
the month of nomination, or bring to the first ARH meeting of the month.