RA Program Evaluation

If you have questions about programming, please contact Camille Irvin at camille.bernabei@westliberty.edu.

RA Name:
RA Email Address:
Building:
Cell Phone #
Title of Program:
Date of Program
Month
Day
Year
Time of Program:
: Hours
Minutes
AM/PM
Area of Focus:
Evaluation:
Number of Residents Attended:
Do you feel that your program was successful?
- Yes
- No
Comments on Success/Failure of the Program:
Electronic Signature of RA
Student ID# (include '@'):
Date
Month
Day
Year
Upload pictures of program, sign in sheet, or advertising
Max. file size: 250 MB.
Upload pictures of program, sign in sheet, or advertising
Max. file size: 250 MB.
Upload pictures of program, sign in sheet, or advertising
Max. file size: 250 MB.
Email
This field is for validation purposes and should be left unchanged.