Res Hall PHE Program Reporting Form

Please submit the following form whenever you complete a program in your residence hall.  Remember that as a Res Hall PHE you are required to complete:

  • A minimum of 3 topic-based programs per semester (1 program in September, 1 in October, 1 in November).  Two of the programs must be active and one may be passive.
  • A minimum of 4 outreach and programming aimed at increasing your visibility within your hall.

Please note that your submission of this form allows us to keep track of your fulfillment of your PHE requirements. 

  mm/dd/yy
Passive Program    
Active Program    
Outreach Program    
Alcohol    
Drugs    
General Health and Wellness    
Mental Health    
Relationships    
Sexual Health    
Stress    
Sleep    
General Outreach/PHE Promotion    
Other    
Other PHE's    
S-Rep(s)    
Res Hall Staff Member(s)    
No Collaboration/Worked Independently    
Other    
 
 

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