Sultan Qaboos University
COLLEGE OF NURSING
COMMUNITY SERVICE EVENT REPORT FORM
ITEM
1.
PLEASE PROVIDE DETAILS
MAIN THEME/FOCUS/
TOPIC OF EVENT
2. AIM/PURPOSE OF THE
EVENT
3. DEPARTMENT
IMPLMENTING EVENT
4. FREQUENCY OF EVENT
(Annual, etc)
5. DATE EVENT WAS
CONDUCTED
6. VENUE OF EVENT
7. LEAD PERSON IN THE
DEPARTMENT
8. TOTAL NUMBER OF
FACULTY INVOLVED
9. TOTAL NUMBER OF
STUDENTS INVOLVED
10. TOTAL BUDGET FROM
COLLEGE SPENT ON
EVENT
11. TOTAL BUDGET FROM
OTHER SOURCES SPENT
ON EVENT
1
ITEM
PLEASE PROVIDE DETAILS
12. OTHER COLLABORATORS,
STAKEHOLDERS OR
ORGANIZATION WORKED
WITH TO IMPLEMENT THE
EVENT
13. TARGET GROUP/BENEFICIARY
14. NUMBER OF COMMUNITY
PARTICIPANTS
15. MAIN ACTIVITIES
16. MAIN OUTCOMES
17. PROBLEMS ENCOUTERED
DURING EVENT
IMPLEMENTATION
18. RECOMMENDATION FOR
FUTURE IMPROVEMENT
NB: Please attach a descriptive five page report with pictures from the
event. The report should be giving more details about the 18 items and
other information where necessary to give complete picture of the efforts,
outcomes and other aspect of the event.
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