Youth In Action/Athletes In Action Report
Advisor Name:
*
First Name
Last Name
Name of person submitting report:
*
First Name
Last Name
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
School Name:
*
Please upload a current roster of active YIA/AIA members. Please include demographic information.
*
Browse Files
Cancel
of
Please upload your monthly meeting sign in sheets & minutes here:
*
Browse Files
Cancel
of
Please describe the prevention initiative your school completed this month (or are currently planning) below:
*
How many people were impacted by this initiative?
*
Provide your next initiative date. If you need supplies, provide the Amazon links below.
*
Next month meeting date #1:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Next month meeting time #1:
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Next month meeting date #2:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Next month meeting time #2:
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Is there anything that we can do to better support you and our students?
*
Submit
Should be Empty: