Lyceum Evaluation Form After your Lyceum-sponsored event has taken place, please submit this form within 10 business days. Name of Event * Date of Event * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022202320242025 Speaker's Name * Sponsoring Department or Organization * Contact Person * Phone Number * Email Address * Was the Event Held on the Approved Date, at the Approved Place, and at the Approved Time? * Yes No If You Answered "No", Please Explain Your Circumstances How Did You Advertise? * How Did You Acknowledge the Support Given by the Lyceum Committee? * Please Evaluate the Success of the Program Including Estimated Attendance * Leave this field blank