ACCESS Program Proposal Form

Click on the image below to review the ACCESS Curriculum Matrix.

Please enter your proposed program information into this form and submit. Your supervisors will receive this form and will review it. You will then be approved or asked to make revisions to your proposed program. You will receive a copy of your submission via email.

Coordinator Information

No Partner? Type "NONE" Here.

IMPORTANT: Select the correct hall or your form will not reach your supervisors.

Program Information

ACCESS Matrix

It is OK to change the title later if you aren't sure yet!

MonthDayYearHourMinutesAM/PM Option

Where do you plan on hosting this program? (i.e. GFL or 2nd Floor Kitchen)

Write a short blurb that you can market to your residents!0/150

Community

Program Information for the Community Viking Value!

_{ACCESS Matrix}

What value will this program add to your community? How did you decide to program to this outcome?

List out the activities, resources, and materials you plan to use.

In one sentence, describe the primary goal for your program.

Diversity

Program Information for the Diversity Viking Value!

ACCESS Matrix

What value will this program add to your community? How did you decide to program to this outcome?

List out the activities, resources, and materials you plan to use.

In one sentence, describe the primary goal for your program.

Leadership

Program Information for the Leadership Viking Value!

_{ACCESS Matrix}

What value will this program add to your community? How did you decide to program to this outcome?

List out the activities, resources, and materials you plan to use.

In one sentence, describe the primary goal for your program.

Wellness

Program Information for the Wellness Pillar

_{ACCESS Matrix}

What value will this program add to your community? How did you decide to program to this outcome?

List out the activities, resources, and materials you plan to use.

In one sentence, describe the primary goal for your program.

Include any food or supplies you will need.

How are you planning to generate an audience for this program?

Upload a File

Upload a PDF, DOCX, or JPG of advertisement.

Use this space for any other comments or concerns.

Residence Life

Residence Life

Residence Life

Residence Life

Residence Life

Residence Life

Residence Life