General Reporting Form

Thu, 06/05/2008 - 19:41 — jmorrison

Group Name: *

Primary Contact

Name: *

Phone: *

Address: *

City: *

Secondary Contact

Name:

Phone:

Address:

City:

Website:

Group activities: *

Please describe all group activities/events from February 1, 2008 to June 1, 2008. For each event please list the estimated number of attendees.

Planned activities:

Please describe any upcoming activities/events

Non-profit Status:

If you plan to apply or are in the process of applying for 501(c)3 nonprofit status, please describe what steps you have taken toward this goal.

Please describe any additional funding or grants you have applied for or received.:

Has your group or have members of your group used the resource library? What suggestions would you:

How has Mission West Virginia assisted the efforts of your support group?:

What further assistance would you like to receive from Mission West Virginia?:

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