Dear Outreach Group Leaders,

Please complete and submit the following report on the first Sunday of each month, reporting the activity of the previous month. If any of the areas are not applicable every month, you may leave them blank or insert "same as the previous month." Tab from box to box and then click on the Submit button at the bottom of this page to send your report.

Thank you for taking the time to complete this report and for submitting it on a timely basis.

Today's Date:
Report for the Month of:	January February March April May June July August September October November December
Name of Outreach Group:
Chairperson of Steering Committee:
Address, Phone #, Email Address of Chairperson:
Steering Committee Members:
Did your Steering Committee meet this month?	Yes      No
Has your Steering Committee changed this month? If so, how?
Did your Outreach Group have any activities this month?	Yes      No
Total # of people who volunteered this month:
Total number of new volunteers this month:
Please complete the following for each activity your group conducted this month:
Nature of Activity and Date:
Total Number of Attendees:
Number of Regular Volunteers:
Number of New Volunteers:
Nature of Activity and Date:
Total Number of Attendees:
Number of Regular Volunteers:
Number of New Volunteers:
Nature of Activity and Date:
Total Number of Attendees:
Number of Regular Volunteers:
Number of New Volunteers:
Nature of Activity and Date:
Total Number of Attendees:
Number of Regular Volunteers:
Number of New Volunteers:
Please describe any current needs of your Outreach Group:
Please share any successes of your Outreach Group:
Other Comments:

When you click the SUBMIT button, this form will be sent directly to the Outreach Coordinator at Fifth Avenue Presbyterian Church. If you would like to return to the FAPC Home Page, click here.