McNair Scholars Event Confirmation Form

Question Title

* 1. Name:

Question Title

* 2. Event Title:

Question Title

* 3. Event Date:

Date / Time

Date

Time

AM/PM

Question Title

* 4. Event Location:

Question Title

* 5. Event Speaker (Name or Organization):

Question Title

* 6. Please provide a brief description of the event:

Question Title

* 7. Was this event useful to you? Explain your answer.

Question Title

* 8. Would you recommend this event to other McNair Scholars?

Yes

No

Other (please specify)