BASCNA GSR Report Form
Please take time to fill this form out to the best of your ability before the third Tuesday of each month when Bergen Area will be meeting via Zoom @ 7:30PM. You can find the Zoom link on our area's website at
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What is today's date? *
Are you a new GSR/GSRA or new to Bergen Area? If yes, WELCOME!! :) Feel free to ask anyone for help throughout the night! *
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What is your position for your group? *If you are not GSR/GSRA you are automatically Representative, and you still have voting rights at area. *
What is your group's # and Name? *
What is your name, phone number, and email address (if you have one) ? *
Are you in person, virtual, or hybrid (both)? *
VIRTUAL MEETINGS: Please type your virtual codes below. (Example: Zoom ID# 123456789 & Password: 12345) *In Person Meetings Type: N/A* *
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IN PERSON MEETINGS: Please type your location details below. (Full Address Including Building # or Facility Name, Town, State, Zip Code) Example: The Church of ABC at 123 Jane Doe Lane. in Town Name, NJ 12345 *Virtual Meetings Type: N/A* *
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Are you collecting 7th Tradition? *
How are you collecting 7th Tradition? (If so)
What is your group's format? Check all that may apply. *
Meeting Time & Day? *
If the group used to meet in person, but have gone virtual due to COVID19... Please type the meeting's physical location prior to going digital below. *
What is your group rent? (If virtual, the rent would be the cost of the virtual platform per month) *
How much did your group donate to area this month? If unsure, please type UNSURE. *
What is your group's home balance to date? *
Average group attendance? *
Do you have any additional comments / concerns you would like to address ? (Example; in need of trusted servants and speakers...) *
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