(*) denotes required information.

* Organization Name:
* First Name:
* Last Name:
* Position in Organization:
* Event Title:
* Event Date (MM/DD/YYYY):
* Event Location:
Was this a community service or service learning event?
Yes No
If yes, how many hours per participant?
( ex: 3 members x 2 hour event = 6 hours)
* Estimated Attendance:
* Positive outcomes of the event:
* Areas of improvement for the event:
* Senate budget amount allotted:
* Senate budget amount spent:
Additional comments about event: