Santa Clara County 2012-2014 Comprehensive HIV Prevention and Care Plan

Activity Tracking Form - Please fill out one form PER event that you complete. The Santa Clara County HIV Planning Council For Prevention and Care thanks you for being a part of the continuum of prevention and care in our county.Please assist us by completing this form about activities or events your organization has sponsored. You may review our Comprehensive Plan by going to Please contact Planning Council Support if you have any questions at
* Required

Please select the following categories that apply to your event/activity. (Please check all that apply)

If you have any additional notes and/or key documents pertaining to your event (e.g. meeting agendas, work plans, etc), please e-mail them to the Planning Council at

Thank you for your assistance in helping us monitor HIV prevention and care activities in Santa Clara County! We welcome any feedback that you can provide us about this survey to the Planning Council!

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