First Name *

Last Name *

Email *

CD Email *

I am a/an: *
- Select Option RA AD/RLC/CD/GA

Please indicate your community. *
- Select Option Back 4 Downtown HHLC Kistler Laker Village MVGVA NMRC NHF PPDC ROMP South Apartments WHOJ Not listed Please specify a value for Please indicate your community.

Did any other RAs contribute to the planning or facilitation of this event? If so, please indicate first name, last name, and associated community below.

Were there any RAs who were assigned to your program that either did not attend or help with the program? If so please list their names below so their CD can be contacted *

Event Name *

Brief description of event: *

Event Date *
- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2024 2025

Event Time *
- 1 2 3 4 5 6 7 8 9 10 11 12 Event Time Minute - 00 15 30 45 Is Event Time AM or PM - AM PM

Was there a cost to put on this event? *
- Select Option No Yes

What items were purchased for this event? *

Please indicate the location of your event *
- Select Option On Campus - Indoors, In Person in HRL Community On Campus - Indoors, In Person in non-HRL Building (Kirkhof, Rec, etc.) On Campus - Outdoors, In Person Online/Virtual Off Campus

HRL Location *
- Select Option Calder Copeland DeVos Frey Grand Valley Apartments Hills Holton-Hooker Hoobler Johnson Kirkpatrick Kistler Laker Village Apartments Maple Murray Niemeyer North C Oak Ott Pew Pickard Pine Robinson Secchia Seidman South C South D South E Stafford Swanson VanSteeland Weed Winter

Where was this event held? *
- Select Option Kirkhof Fieldhouse/Rec Center Library Cook De-Witt Not listed Please specify a value for Where was this event held?

Where was the event held? *

CAMPUS PARTNERS

A campus partner is a staff member who does not instruct classes as their primary role at the University. The majority of program collaborations are with campus partners (staff members from SASC, Counseling Center, Career Center, etc. are all campus partners, not faculty). If a staff member from a campus partner office collaborates on the development or facilitation of a program, that is a "campus partner collaboration."

FACULTY MEMBERS

A faculty member is an individual whose primary role at the University is instructing classes and is associated with a particular academic program and college with the title of "professor" (associate, assistant, full), "faculty" (affiliate, senior affiliate, adjunct, visiting), or "instructor" (part-time, senior part-time).  Classroom teaching is the primary role of faculty members.  If a professor collaborates on the development or facilitation of a program, that is a "faculty collaboration."

STUDENT ORGANIZATIONS

A student organization is a recognized group on campus, registered as a student organization in Laker Link (i.e. RHA, Student Senate, Muslim Student Association, etc.)

Please indicate any collaborations related to this program. *
HRL Only - No Additional Collaborations
Campus Partner
Faculty Member
Student Organization

Which Campus Partner did you work with for this event? *
- Select Option ACES Athletics Career Services Community Service Learning Center Counseling Center GVPD Interfaith MoneySmart Lakers Ottawa County Public Health Padnos International Center Rec & Wellness Replenish SASC Social Justice Centers (LGBTQ, Women's Center, Multicultural Center, etc) Teach-In Theatre Not listed Please specify a value for Which Campus Partner did you work with for this event?

First and Last Name of Collaborating Campus Partner or Faculty Member *

Please indicate the college of the faculty member you worked with. *
- Select Option The Brooks College of Interdisciplinary Studies The College of Community and Public Service The College of Education The College of Health Professions The College of Liberal Arts and Sciences The Kirkhof College of Nursing The Padnos College of Engineering and Computing The Seidman College of Business

HRL Pillar

Each program should have a defined primary HRL Pillar learning outcome. The primary outcome for events throughout first six weeks of the Fall semester should be Community Building. Community Building also occurs via Academic Success, Citizenship, Wellness, and Social Justice programs. Some Academic Success, Civic Engagement, Wellness, and Social Justice programs may have additional outcomes as well. One secondary outcome may be selected if applicable.

Community Building: Community Building refers to fostering residential environments in which students can enter safely, collaboratively, and open to dialogue. In Housing & Residence Life, students are encouraged to socialize to increase their own sense of belonging and connectedness within their Living Centers and the broader Grand Valley State University community.

Academic Success: Academic Success refers to the goal of supporting students in reaching their academic and professional goals within our residential communities. In Housing & Residence Life, students are  encouraged to utilize success resources across campus, engage in the Liberal Arts curriculum, and create space for continuing education outside of the classroom.

Civic Engagement: Civic Engagement refers to the process by which students learn about their role in the community and their reciprocal relationships within the greater population.  Housing & Residence Life will empower students to address areas of concern, build stronger and healthier communities and understand their personal obligations to others.

Social Justice: Social Justice refers to active dialogue and collaboration within residential communities that explores concepts of power, privilege, and oppression. In Housing & Residence Life, students are encouraged to engage in dialogue around relevant topics and concepts, explore areas of their own identity, and expand their own worldviews.

Wellness: Wellness refers to the on-going process by which individuals promote their holistic well-being to reach their full potential.  Housing & Residence Life strives to create an environment where residential students take an active, conscious, and self-directed approach to making positive choices that contribute to their individual and collective wellness while in their Laker community.

Primary Learning Domain *
- Select Option Community Building Academic Civic Engagement Social Justice Wellness

Secondary Learning Domain *
- Select Option Community Building Academic Civic Engagement Social Justice Wellness N/A

Who was the intended audience for this program? *
- Select Option Floor community Building residents Community residents North campus residents South campus resident All campus residents Other (please specify) Not listed Please specify a value for Who was the intended audience for this program?

Attendee count (do not include RA/CD/ACD attendees) *

Please describe your advertising technique and timeline. How far in advance did you start advertising and what marketing techniques did you use? *

What did participants learn or gain from participating in this event? *

What recommendations or additional considerations do you have for making this program successful in the future? *

How did this program meet the Learning Outcomes of the primary learning domain(s)? Please be specific. *

Would you recommend HRL offering this program again in the future? *
- Select Option Yes No

Please share a photo of your event!
Please upload a file with the extension .bmp, .gif, .jpeg, .jpg, .png, or .tiff with a maximum size of 10 MB (10240 KB)

Please share a photo of your event!
Please upload a file with the extension .bmp, .gif, .jpeg, .jpg, .png, or .tiff with a maximum size of 10 MB (10240 KB)

Please share a photo of your event!
Please upload a file with the extension .bmp, .gif, .jpeg, .jpg, .png, or .tiff with a maximum size of 10 MB (10240 KB)

Please share a photo of your event!
Please upload a file with the extension .bmp, .gif, .jpeg, .jpg, .png, or .tiff with a maximum size of 10 MB (10240 KB)

Please share a photo of your event!
Please upload a file with the extension .bmp, .gif, .jpeg, .jpg, .png, or .tiff with a maximum size of 10 MB (10240 KB)

Please share a photo of your event!
Please upload a file with the extension .bmp, .gif, .jpeg, .jpg, .png, or .tiff with a maximum size of 10 MB (10240 KB)