|   |
| NAME/NUMBER OF ACTIVITY: |
| ACTIVITY DIRECTOR: |
| CARL PERKINS EMPLOYEE: |
| REPORT PERIOD: |
| 1. Specific objectives in progress and projected completion times:
|
| 2. Specific objectives accomplished to date:
|
| 3. Specific objectives for this quarter toward which no progress has been made (Please explain):
|
| 4. Status of the following activities to date:
|
| WORKSHOPS | # Planned
|
# Completed
|
| Quarterly Report | Page 2 |
ACTIVITY NAME:
| SEMINARS
|
# Planned
|
# Completed
|
| FACULTY DISCUSSION GROUPS/MEETINGS
|
# Planned
|
# Completed
|
| CONFERENCES/PROFESSIONAL DEVELOPMENT ACTIVITIES | # Planned
|
# Completed
|
| 5. Unique accomplishments during this Quarter:
|
| 6. Major problems encountered and/or Activity weaknesses: |
| Summary Statistics (indicate number):
|
| ______ Off Campus Consultants _____Programs/Workshops held _____# Students Served
______ Programs/Workshops Attended _____Publications Produced _____# Faculty Served
______ Other Significant Accomplishments (please specify)
|
| Quarterly Report | Page 3 |
ACTIVITY NAME:
| 8. Activity Budget: $ Quarter $
|
| 9. Voluntary services contributed by persons or agencies |
| Summary of the impact of this Quarter’s Activity accomplishments on Institutional or Major Unit Goals:
|
| Carl Perkins Employee’s Signature: | Date: |
| Activity Director’s Signature: | Date: |
| DUE FOR: December, March, June, September |