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Prgoram OTM Form  

OTM WINNERS SUBMIT GENERAL OTM SUBMIT PROGRAM OTM
 

Deadline: Tuesday, May 6th @ 11:59pm
 

   To nominate a program for an OTM, please fill out the form below. At this time, we are only accepting nominations for the month that you see above. Our goal is for your nomination to win a regional and national OTM award, so please fill out the nomination to the best of your ability. Once your submission is complete, the Chi Psi Phi committee will meet to review and choose the best nomination. Winners will be announced before the 16th of every month that school is in session (excluding the first month and including the month after school ends).

   To see examples of outstanding program OTMs that have won either a regional or national award, click the following categories: Community Service Program, Diversity Program, Educational Program, and Social Program.

  Fields with marked with an * are required. It is highly advised that you write your OTM in saved a word processor document first, then copy and paste it into the fields below. This will prevent losing your work if your computer crashes, there are internet problems, or the website fails.
 
   
Nominator's Information
   
*Your Name:   A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
   
*Your Email Address:   A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.
   
*Your Phone Number:    A value is required.Invalid format.
   
Your Position (if any):  
   
* Please make a selection. By checking this box you are providing an electronic signature. This box must be checked for submission.
   
* Please make a selection. I am the person who's information appears above.
   
Program Coordinator's Information
   
*Name (First & Last):   A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
   
*Email Adress:   A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.
   
*Phone Number:   A value is required.Invalid format.
   
Position (if any):  
   
Program Information
   
*Program Name:   A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
   
*Target Population:   A value is required.Exceeded maximum number of characters.
   
*Number in Attendance:   A value is required.Invalid format.
   
*Number of People Who Organized the    Program:    A value is required.Invalid format.
   
*Category:    Please select an item.
   
*Time Needed to Organize:    A value is required.Exceeded maximum number of characters.
   
*Date(s) of the Program:    A value is required.Exceeded maximum number of characters.
   
*Cost of Program:  $ A value is required.Invalid format.
   
Origin of Program (200 word max.):
   
*Short Description of Program (400 word max.):
   
*Goals of the Program (200 word max.):
   
*Positive and Lasting Effects of the Program (200 word max.):
   
*Short Evaluation (200 word max.):
   
*How can this program be adapted to other campuses (200 word max.):
   
   
 

   
 
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