STAFF OFFICER MONTHLY REPORT

U.S. COAST GUARD AUXILIARY

MONTHLY ACTIVITY REPORT
STAFF OFFICER INFORMATION:
Name*
Member ID*
Report Date*

MonthDayYear
Staff Officer Email*
example@example.com
Office*
Unit:*
Report for Month of:*
*Report recaps LAST month
OPTIONAL- "1 Up Notification" email address
You can automatically send a copy of this report to your DIVISION officer by providing their email address
ACTIVITIES/EVENTS/TASKS CONDUCTED THIS PERIOD:
Activity/Event/Task 1
Date:

MonthDayYear
Status
Activity/Event/Task 2
Date:

MonthDayYear
Status
Activity/Event/Task 3
Date:

MonthDayYear
Status
Have More to Log?

Yes- I need additional fields to log my activities/events/tasks
Activity/Event/Task 4
Date:

MonthDayYear
Status
Activity/Event/Task 5
Date:

MonthDayYear
Status
Activity/Event/Task 6
Date:

MonthDayYear
Status
ACTIVITIES/EVENTS/TASKS PLANNED FOR THE NEXT 30 DAYS, LONG TERM GOALS & CONCERNS:
Upcoming Activities:
Long Term Goals:
Concerns or Challenges:
General Notes or Comments:
Upload supporting files/information here:

Upload a File
Please upload any supporting information here: Cancelof
If you experience technical issues with our electronic reporting portal please contact

Patrick Brown at (615) 601-1270 or uscgaux@pbicompany.com
Should be Empty:

U.S. COAST GUARD AUXILIARY