Programming Hours Form


Community Advisors:



Participation Hours

Please leave blank if you did not have any hours of participation.
For dates please use format DD/MM/YYYY

1. Hosted a social program

Date Assisted: Date Attended:

2. Assisted with an educational program (if you have participated please list the hall below)

Residence Hall:

Date Assisted: Date Attended:

3. Community Service (submit community service form)

Date Assisted: Date Attended:

4. Attended a UHRL sponsored event (hall forum, house council, RHA, Boardwalk on the Blvd., other program)

Date Assisted: Date Attended:

5. Completed an assignment given by AD

Date Assisted: Date Attended:

6. Updated / changed bulletin board

Date Assisted: Date Attended:

7. Unplanned event / activity (must submit sign-in sheet & photo)

Date Assisted: Date Attended:

8. Assisted a fellow staff member with a program (if yes, please fill in the box below)

Name of Program/Staff Member:

Date Assisted: Date Attended:

9. Met with staff / faculty liaison

Date Assisted: Date Attended:


This page was last updated on: October 24, 2018