Committee Activity Follow-up » Medical College Council » College of Medicine

Committee Activity Follow-up Form

All MCC Committees must submit this form no later than 3 days following the event.

"*" indicates required fields

Committee Name*

Name*

First Last

Email*

Event Request Form Number*

Input the form number correlated with your initial event request.

Event Title*

This is how your event will appear on the MCC calendar.

Event Type*

You may check multiple boxes if more than one applies.

General Meeting

Workshop/Seminar

Special Event/Series

Date of Event*

Event Description*

How did this event benefit the UF COM community? What were the learning outcomes?*

Attendance*

Provide the final attendance number (or your best estimate.)

Event Photo*

Please provide an image from the event. You may need to compress your photo prior to submission.

Max. file size: 125 MB.

Terms*

By completing this form, I certify the above information is accurate. Failure to provide accurate follow up feedback and information, may prevent your Committee from hosting events for the remainder of the academic year.

Agree