Please complete this worksheet to the best of your ability. Each section contains topics/prompts for which you can enter notes/responses.
You will be contacted by a member of the Executive Committee if more detail or follow-up is needed.
Your worksheet is not completed until you click Submit. You will receive an emailed copy of your responses.
ALL WORKSHEETS MUST BE SUBMITTED BY THE FIRST FRIDAY OF THE MONTH TO BE CONSIDERED FOR FUNDING THAT MONTH.