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PEER Ambassador Check-In Form
Monthly PEER Ambassador Activity Log (can be filled out monthly by PEER Ambassador, by Host Site Supervisor, or by both together)
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Name:
*
Choose
Amanda Miller
Dani Bisono
Jenna Weld
Melanie Farr
Olivia Gilbert-Lilly
Phillip Ragland
Racquel Maitland
Sam Skuse
Shane Trudeau
Vanessa Gray
My name is not listed (for now you can select this and let your Host Site Supervisor know)
Host Site
Choose
Community Action Family Center
Recover Project (Greenfield)
The Brick House
Valuing Our Children
Reporting on the month of:
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Choose
January
February
March
April
May
June
July
August
September
October
November
December
Were you active as a PEER Ambassador this month?
*
Yes
No
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