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* 1. Name

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* 2. Email

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* 3. Name of Event

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* 4. Date of Event

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* 5. Location of Event

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* 6. How many people attended the event?

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* 7. What went well? Describe at least two parts of the planning and execution of the event that you are proud of.

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* 8. What improvements or changes do you recommend? What could/should have been done differently? Be sure to explain your reasons for these improvements.

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* 9. Was your purpose or objective achieved? Why or why not?

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* 10. If you had a speaker, performer, or other guest, would you recommend this person for future events? Explain why or why not.

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* 11. Should the college do this event again? Explain why or why not.

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* 12. Additional notes or feedback.

The information provided above is true and complete to the best of my knowledge and belief.

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* 13. Full Name

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