Organization name:

Your Name:

Your phone:

e.g. (123) 123-1234

Your Email:

Speaker:

Title of talk:

Event date:

Format:
 Luncheon Reception Dinner Annual meeting Other

If other, please describe:

Audience

Number of guests invited:

Number of guests attended:

Was the event for club/org members only?
 Yes No

Speaker:

Would you recommend this speaker to another organization?
 Yes No

Comments:

Evaluation:

Was this event a success?
 Yes No

Did it meet or exceed your board's expections?
 Yes No

If yes, what contributed most to its success?

If no, what could have been improved?

Is there anything you would change for an event in the future?

Would you host another UC Berkeley Speakers Bureau event in the future?
 Yes No

Why or why not?