1. Club & Event Information

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17% of survey complete.

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* 1. Club Name

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* 2. Student Information (form must be completed by a club President or Finance Officer)

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* 3. Advisor Information

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* 4. Event Title

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* 5. Date/Time of Event

Date / Time

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* 6. Program Location (including building and room number)

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* 7. Program Description

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* 8. Program Goals & Desired Outcomes

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