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NAC Monthly Report August 2024
Please complete this form to document activity by this NAC
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Please click on "Select Language" top right to have the form immediately translated.

Information/Referrals

Please insert in this box the total number of residents served and in the following boxes the number of residents served by program/service.
Please insert in this box the total number of residents served and in the following boxes the number of residents served by program/service.
(indicate Yes or No)

Event Information

Please list meeting(s) attended and held by Contract Staff (include dates, times and purpose of meeting), your interaction with stake holders in your service area (visit(s) to or meeting(s) with religious institutions, civic organizations, community police officers, business associations, schools, etc.) and describe outreach method used (i.e., door hangers, social media, email blast, etc.) used when promoting new programs, upcoming event etc.). Please add their names in the box.
Note:  It is highly recommended that NACs establish a Block Captain Club, if possible. 
Please add their name in the box
Please add their name in the box
Please add their name in the box

File Upload Section

File Upload Instructions
Files are restricted to a maximum of 8MB. If you have documents larger than 8MB, then separate them into smaller documents to successfully upload them to the system. Allow time for the file to upload. When the black underscore line goes away, your file has uploaded. Please use the Additional Information file upload boxes for other files you wish to submit. See below.
Click or drag files to this area to upload. You can upload up to 4 files.
Click or drag files to this area to upload. You can upload up to 4 files.
Click or drag files to this area to upload. You can upload up to 4 files.
Click or drag files to this area to upload. You can upload up to 4 files.
Click or drag a file to this area to upload.
Click or drag files to this area to upload. You can upload up to 4 files.
Click or drag files to this area to upload. You can upload up to 6 files.
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