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| Chapter Name: |
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| Event Name: |
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(format: MM/DD/YYYY) |
| Attendance |
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# of Re-Connects:
(First Attendance This FY) |
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| Event Details |
Event Type:
(Please check all that apply.) |
Chapter Meeting
Monthly After Hours Events
Sporting Event
Annual Event
University-Sponsored Event
Testing the Waters Event
Community Service Event
Education Event
Other : |
Event Description:
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Lessons Learned/Recommendations:
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Did this event make progress towards a chapter scholarship?
No
Yes, (If Yes) Amount Raised: $ |
| Person Completing Form |
| First Name: |
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| Last Name: |
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| E-mail Address: |
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