AMSA's Local Project Submission Form

CONTACT INFORMATION
Chapter:
Project coordinator:
Coordinator's email:
PROJECT DESCRIPTION
Project Type(s) Select all that apply.
Community Service
Fundraiser
School Service
Social Event

Speaker
Recruitment
Rally
Lobby Event
Other
Project title:
Date of completion:
Summary of project:
Content area:
Select all that apply.
Number of attendees: People
Duration of event: Hours
Round to the nearest hour and do not include text in your answer
PROJECT PLANNING
Project coordinator roles:
Total coordinator hours: Hours
Round to the nearest hour and do not include text in your answer
FUNDING
Total cost of project:
How was the project funded?
Select all that apply.
Local chapter funds
School funds
AMSA grant
Other grant (clarify in funding breakdown box below)
Donation
Admission/participant charge
Please describe the breakdown of your sources of funding and/or donations:
ADVERTISING
How was the project advertised? Did it work?
PROJECT EVALUATION
How would you rate the success of your project?
Lessons & suggestions: What could have been done to improve the project? What should others know to replicate this?
ADDITIONAL COMMENTS
Any additional comments that may benefit a chapter in completing a similar project would be greatly appreciated.