ACM LECTURESHIP SERIES
 
CHAPTER EVALUATION FORM (rev. 6/94)
 
FOR USE BY:  ACM Lecturers
 
SUMMARY:  Please complete this form and attach it to your travel
expense reimbursement request.

1. LECTURER INFORMATION
 
a. Lecturer:
b. Date of Lecture: 

2. CHAPTER INFORMATION

a. Name of Chapter:
b. Chapter Contact: (name and either e-mail or mailing address) 

3. EVALUATION OF CHAPTER:
(rate as: Excellent, Good, Fair, Poor or n/a)
 
a. hotel or other accommodations
b. reimbursement of local expenses
c. adequacy of lecture room
d. audio visual equipment
e. overall evaluation of meeting
f. advertising
g. attendance
h. general comments


SEND COMPLETED FORM TO: 
    lectureship@acm.org
       -- or --
    Association for Computing Machinery
    attn: Lectureship Series
    1515 Broadway
    New York, NY 10036
    vox: (1)-212-869-7440    
    fax: (1)-212-944-1318