Citizen Corps Monthly Report


Citizen Corps Monthly Report Form

 

Thank you for taking the time to fill out the information below. We use this data to determine what resources are necessary for the next year. All fields are required before submission.

Background

1. Name of Council or Program for which you are reporting. (Please use actual name of program. Do not just put "CERT" or "Citizen Corps Council," use the city or other descriptive name. For example: use "Bosque County CERT", not just "CERT.")

2. Contact information for person completing this report:

4. Which Citizen Corps Program(s) are you reporting on? (Select all that apply.)