Asbell Center Funding Follow Up Form

This form must be submitted within two weeks after the event. Failure to submit this form on time may jeopardize future Asbell Center funding.

Name of Person Submitting Form:
Department/Group:
Program Title:
Program Date (mm/dd/yyyy format):
Program Location:
Total Funds Used:	$
Total Funds Allocated:	$
Did you meet your goals?:
Suggestions for someone who plans a similar program in the future:
What effect did the program have on the participants?:
How did this event increase awareness of Jewish religion and/or culture at Dickinson?:
Expected Number of Participants:
Actual Number of Participants:
How will this event be publicized? Please check all that Apply
	Table Tents Flyers Posters Ticket Sales Campus TV Campus Newsletter Phone Calls Tabling in HUB Personal Email Bringing People Other