WLLS 111

EVENT FORM

Student Name:

Name of Event:

(includes on and off campus events)

Presenter/Performer/Artist Name:

Location of Event: Event Date:

Brief Description of Event:

(continue on back if more space is needed)

Professor Heinekamp, scotth@wells.edu, Ext. 3361 Professor McClusky, lmcclusky@wells.edu, Ext. 3252

Phyllis Siemiatkowski, ps2@wells.edu, Ext. 3370, Macmillan 200

WLLS 111

EVENT FORM

Student Name:

Name of Event:

(includes on and off campus events)

Presenter/Performer/Artist Name:

Location of Event: Event Date:

Brief Description of Event:

(continue on back if more space is needed)

Professor Heinekamp, scotth@wells.edu, Ext. 3361 Professor McClusky, lmcclusky@wells.edu, Ext. 3252

Phyllis Siemiatkowski, ps2@wells.edu, Ext. 3370, Macmillan 200

WLLS 111

EVENT FORM

Student Name:

Name of Event:

(includes on and off campus events)

Presenter/Performer/Artist Name:

Location of Event: Event Date:

Brief Description of Event:

(continue on back if more space is needed)

Professor Heinekamp, scotth@wells.edu, Ext. 3361 Professor McClusky, lmcclusky@wells.edu, Ext. 3252

Phyllis Siemiatkowski, ps2@wells.edu, Ext. 3370, Macmillan 200