Hello! 

Please fill out this form in it's entirety to assure we accurately account for all students, faculty, staff, and community at Center events. 

Event Types:
Outreach, Retention, Co-Curricular, Parents, Workshops/Trainings 

*Please note that one event may account for multiple event types, i.e., can be both Outreach and Retention, thus it's important to reflect this.  

Example: Cinco de Mayo is both Co-Curricular and Retention because 100 students attended (Co-curricular) and 30 students were retained (Retention) executing the event. 

For clarification about an event, please speak with Araceli. 

Thank you! 

Question Title

* 1. Center Staff

Question Title

* 2. Event Title 

Question Title

* 3. Event Date (if multiple dates, please add each event separately) 

Date

Question Title

* 4. Event Description 

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