Post Event Activity Report

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Post Event Activity Report
Please complete and returned this form to the Office of Continuing Education once a
Conference / Workshop / or Non-Credit Event has been conducted.
Was this a New or Existing Conference/Activity?

Yes

No
Account #: __________________________________________________
Department: _________________________________________________________________________
Event Coordinator/Contact Person: _______________________________________________________
Title of Conference/Activity: _____________________________________________________________
Date of Event: ________________________________________________________________________
Location of Event: ______________________________________________________________________
Total Enrollment/Attendance (Attach sheets): _______________________________________________
Total Revenue Generated: _____________________________ Fee Charged: ____________________
(Event Coordinator, please print name and sign)
Date
(AVP Assistant Vice President, please print and sign)
Date
Tel: 936-261-2120 / Email: [email protected] / www.pvamu.edu/continuingeducation
OCE-Rev 11/16/10
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