ACT Now! Summit Monthly Reporting Form
Committee Name:
Your answer
Meetings, conference calls, or events held this month:
Your answer
Names of committee members in attendance at meetings, conference calls, or events:
Your answer
List communications summaries with outside sources (C5 staff advisor, organizations, etc):
Your answer
Report on the committee work done within the last month:
Your answer
Report on items on your action plan that are scheduled for this month:
Your answer
Are there any problems or barriers to carrying out your plan?
Your answer
What are some great ideas you are working on?
Your answer
When is your next scheduled meeting, conference call or event?
MM
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DD
/
YYYY
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