| |
| * Student Organization Name: |
|
| * Name of Individual Submitting Form: |
|
| * E-mail of Individual Submitting Form: |
|
| * Phone Number of Individual Submitting Form: |
|
| * Reporting Period: |
|
| * Did you have any activity during this reporting period? |
|
|
| Activity Name: |
|
| Date of Activity:
|
|
| Time of Activity:
|
|
| Description of Activity:
|
|
| Community Service Grant Funds Used: |
If "Yes", amount used:
|
| |
| Type of Activity:
|
|
| If "General Organization Meeting" or "Information Session," please provide the following information: |
Number of Attendees
|
| If "Fundraiser," please provide the following information: |
Number of Attendees
Total Cost to Run Event
Amount Raised (Gross)
Amount Contributed to Recipient(s) Net
Recipient(s) of Funds Raised
|
| If "Direct Service Project," please provide the following information:
|
Number of Rice Volunteers
Length (in hours) of This Session
Number of Clients Served
Is this a regularly scheduled (weekly or monthly) project?
|
| If "Educational/Advocacy Campaign," please provide the following information:
|
Quantifiable measure ("x" buttons distributed, "y" flyers distributed/posted, "z" individuals signed a petition, etc.) of the impact of the activity.
Approximately how many individuals were reached by the campaign?
|
| Any Additional Comments: |
|
| New Participant Information |
| |
Participant Name
|
E-mail Address |
Complete for New Participants to the Program:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Any additional new participants should be submitted on an additional web
form after this one is completed. There is no need to complete all of
the event information a second time, but please add the "Activity Name."
|
| Returning Participant Information |
Complete for Returning Participants to the Program:
|
Total Number of Participants Returning for this Session
|
|
| |
|