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Submit your CB Report
CB - Main Campus
*Building Name
*First Name
*Last Name
*E-Mail Address
*CB Title
*CB Date(Format: Jan - 01 - 2008)
*Select which developmental category your CB falls under
Awareness Education    
Multicultural
Spiritual/Moral          
   
 
Intellectual
Personal/Emotional       
Physical
Social
Did you meet the objectives set in your CB Proposal Form? Please explain why or why not.
*Participation
0
1-10
11-20
21-40
> 41
Passive
*Cost
*Impact
*Suggestions for improvement
*Would you recommend to another RA?
Yes
No
*Did you co-program with or get material from another resource?
Yes
No
If so, please check
Health & Wellness      
Multicultural Affairs
Counseling center      
Another RA
Public Safety             
Student Life
Athletics                   
Kathy Byrnes
Student Organization 
Other
If Other Please Specify:
*Form of advertisement
E-mail
Flyer
Voice Mail
Door to Door
If Other Please Specify:
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