Club & Organization Monthly Activity Report
Student Activities Office Parsons Union Building Lock Haven University
2018-2019
This form is used as an important assessment tool, and MUST be completed & returned to the Student Activities Office monthly.
Please attach additional information as necessary.
Club/Organization Name: ____________________________________________________________________________
Contact Person: ________________________________________________ Email address: _______________________
Month: ________________________________________ Year: ___________________________
Meetings and/or Practices:
Indicate all Meetings & Practices
Number of Meetings: _________________________________ Average attendance: _______________________
Days: ____________________Times:_______________________Locations:______________________________
Number of Practices: __________________________Average attendance: _______________________________
Days: ____________________Times:_______________________Locations:______________________________
Programs:
List all Programs (Programming Organizations May Attach Sheet)
Program Name Date & Time Location Attendance
1__________________________________________________________________________________________
2__________________________________________________________________________________________
3__________________________________________________________________________________________
4__________________________________________________________________________________________
Special Events: List all Special Events (Programming Organizations May Attach Sheet)
Special Event Name Date & Time Location Attendance___
1__________________________________________________________________________________________
2__________________________________________________________________________________________
3__________________________________________________________________________________________
Conferences: List all Conferences
Conference Name Date & Time Location Attendance
1__________________________________________________________________________________________
2__________________________________________________________________________________________
Fundraisers:
List all Fundraisers including Club Membership Dues
Name of Fundraiser Date & Location Club/Charity __ Amount Raised
1__________________________________________________________________________________________
2__________________________________________________________________________________________
3__________________________________________________________________________________________
-over-
Performances:
List all Performances
Performance Name Date & Time Location Attendance___
1__________________________________________________________________________________________
2__________________________________________________________________________________________
3__________________________________________________________________________________________
Competitions & Tournaments: List all Competitions & Tournaments
Competition/Tournament Name Date & Time Location _____ Attendance _ Win/Loss____
1__________________________________________________________________________________________
2__________________________________________________________________________________________
3__________________________________________________________________________________________
4__________________________________________________________________________________________
5__________________________________________________________________________________________
Field Trips: List all Field Trips
Field Trip Name Date & Time Location Attendance
1__________________________________________________________________________________________
2__________________________________________________________________________________________
Community Service:
List all Community Service Projects
Organization & Type of Service Date & Location Hours Served __ Attendance___
1__________________________________________________________________________________________
2__________________________________________________________________________________________
3__________________________________________________________________________________________
Publications: (Eagle Eye Only)
Number of Publications Produced: _________________________ Number Printed: __________________
Dates of Distribution: __________________________________________________________________________
List Additional Club Accomplishments, Awards, Recognition &/or Special Notes of Interest:
___________________________________________________________________________________________
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