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Program Reporting Form

Name of person submitting this form
Email address of person submitting this form
Email address of chapter president


Please check the box for the appropriate program being reported:
Alcohol use and underage drinking (1 minimum)
Chapter hazing education (1 minimum)
Additional educational topic (1 minimum)
Community service/philanthropy event (1 minimum)
Special Olympics Volleyball Tournament participation
Relay For Life participation

Date of program
Time of program
Location of program
Presenter(s)
Number of members in attendance

Include a brief description of the program: