Five Star Chapter Excellence Program

University of Houston
LEADERSHIP PROGRAM FORM
*Form is due 3 business days after the event.*

THIS FORM MUST BE TYPED.

Semester (Fall/Spring): Year:

Council Affiliation:

Name of Greek Organization:

Name of sponsoring organization(s):

Program Coordinator:
Phone Number(s): UH Email Address:
Campus Activities Event: (mark x if it applies)
Leadership Luncheon Leadership Challenge

Leadership Program Form

Program Title/Topic:

Presenter Information:

Program Description/Purpose:

Day(s) and Date(s) of Program:

Time Program Began: Time Program Ended:

AUDIENCE 9
Audience (Please state the number in attendance in each category):

New Members Active Members Guests

If a conference, please list the members from your chapter who attended:

Please attach the following when applicable:

• Copies of promotional materials
• Copy of program evaluation sheet/results
• Handouts from program
• Any additional material which may help document program

Leadership Program Form Page 1

For office use only
Date Submitted: Signature of Advisor:

Leadership Program Form Page 2