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GSR Report Form (version 2.0)
Form for submitting Group Service Representative Reports to the Northern Area.
Much of the information requested here will be included in your
Group Treasurer's report
.
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* Indicates required question
Email
*
Your email
Group Name
Your answer
Is the meeting space: physical (offline), virtual (online), hybrid (both), or does it vary?
Physical-space (offline)
Virtual-space (online)
Hybrid (both)
Other:
Clear selection
Group meets on...
Choose one or more options
Daily
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Group meets at...
Please enter the time that your group meets at (e.g. 1pm).
If the group meets at different times on different days, you can enter that here also (e.g. "Mon Noon, Fri 7pm...")
Your answer
Group Service Representative (GSR)
First name and Last initial(s) e.g. Alex B.
Your answer
Group Service Representative (GSR) Alternate
First name and Last initial(s) e.g. Alex B.
Your answer
Group Secretary (or Secretaries)
First name and Last initial(s) e.g. Alex B.
Your answer
Group Secretary Alternate (or Alternates)
First name and Last initial(s) e.g. Alex B.
Your answer
Group Treasurer
First name and Last initial(s) e.g. Alex B.
Your answer
Group Treasurer Alternate
First name and Last initial(s) e.g. Alex B.
Your answer
Attendance
(monthly total)
Your answer
Newcomers
(monthly total)
Your answer
Beginning (Previous) Balance
Please include £ or €
Your answer
Total monthly Income
Please include £ or €
Your answer
Total monthly Expenses
Please include £ or €
Your answer
Contribution to the Area Service Committee
Please include £ or €
Your answer
Ending Balance
Please include £ or €
Your answer
Prudent Reserve
Please include £ or €
Your answer
Literature
Does your group require any literature from the Literature Secretary/Subcommittee?
Literature Order Form
Your answer
If physical-space or hybrid, is the meeting space fully wheelchair accessible?
(Does
not
apply to virtual/online only meetings)
Please write yes / no / unsure.
If in doubt, "unsure" is best.
The meeting venue / facility should be able to inform you.
Your answer
Does your group require an NA meeting insurance cover note, for the meeting venue?
You may have already requested this, your meeting venue/facility may have already received this.
If in doubt, the meeting venue/facility should be able to inform you as to whether they have such a note.
This is important for the group (to be insured) and the NA Fellowship as a whole (to know how many groups are operating and that they are properly covered by the insurance).
Your answer
Any Other Business ("AOB")
Anything that doesn't fit into the above fields, or anything that you or the group would like to communicate with the rest of the Area, such as any information, problems, questions, requests, solutions the group may have.
Your answer
Send me a copy of my responses.
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