AFKC Support Group Attendance Report Form

Your name*

First Last

Email*

Name of group*

Address HIDDEN

Street Address City State ZIP Code

Cell Phone*

Number of meetings for payment or reporting (up to 4)*

Please note, additional fields to complete will appear based on the number entered.

Please enter a number from 1 to 4.

Date of Meeting 1*

mm/dd/yy

Time of Meeting 1*

ie: 6:30 PM to 8:30 PM

Location of Meeting 1*

Role for Meeting 1*

What was your role in the meeting?

Support Group Leader
Child Care

Number of Adult Attendees*

If no adult attendees, enter 0

Number of Child or Youth Attendees*

If no child or youth attendees, enter 0

Meeting 1 Attendee List*

How are you providing the attendee list?

Typing or pasting attendees in text boxes below
I want to upload a pdf of attendees

Meeting 1 List of Adult Attendees*

Meeting 1 List of Children or Youth Attendees*

Meeting 1 Attendee List Upload*

Upload a pdf of the list of attendees from this meeting. Separate the adult and child/youth attendees as 2 different lists on the page.

Name of Group Facilitator*

Date of Meeting 2*

mm/dd/yy

Time of Meeting 2*

Location of Meeting 2*

Role for Meeting 2*

Support Group Leader
Child Care

Number of Adult Attendees Meeting 2*

If no adult attendees, enter 0

Number of Child or Youth Attendees Meeting 2*

If no child or youth attendees, enter 0

Meeting 2 Attendee List*

How are you providing the attendee list?

Typing or pasting attendees in text boxes below
I want to upload a pdf of attendees

Meeting 2 List of Adult Attendees*

Meeting 2 List of Children or Youth Attendees*

Meeting 2 Attendee List Upload*

Upload a pdf of the list of attendees from this meeting. Separate the adult and child/youth attendees as 2 different lists on the page.

Name of Group Facilitator Meeting 2*

Date of Meeting 3*

mm/dd/yy

Time of Meeting 3*

Location of Meeting 3*

Role for Meeting 3*

Support Group Leader
Child Care

Number of Adult Attendees Meeting 3*

Number of Child or Youth Attendees Meeting 3*

Meeting 3 Attendee List*

How are you providing the attendee list?

Typing or pasting attendees in text boxes below
I want to upload a pdf of attendees

Meeting 3 List of Adult Attendees*

Meeting 3 List of Children or Youth Attendees*

Meeting 3 Attendee List Upload*

Upload a pdf of the list of attendees from this meeting. Separate the adult and child/youth attendees as 2 different lists on the page.

Name of Group Facilitator Meeting 3*

Date of Meeting 4*

mm/dd/yy

Time of Meeting 4*

Location of Meeting 4*

Role for Meeting 4*

Support Group Leader
Child Care

Number of Adult Attendees Meeting 4*

Number of Child or Youth Attendees Meeting 4*

Meeting 4 Attendee List*

How are you providing the attendee list?

Typing or pasting attendees in text boxes below
I want to upload a pdf of attendees

Meeting 4 List of Adult Attendees*

Meeting 4 List of Children or Youth Attendees*

Meeting 4 Attendee List Upload*

Upload a pdf of the list of attendees from this meeting. Separate the adult and child/youth attendees as 2 different lists on the page.

Name of Group Facilitator Meeting 4*

Anything else you would like us to know?

Please Note

If you are not re-directed to a different web page after you click on the submit button, you have NOT successfully submitted. Scroll through the page and determine what information is missing and re-enter and submit.

You will receive an email confirmation right away.

If you have any questions, please contact Nick at nickschanilec@nacac.org.

Comments

This field is for validation purposes and should be left unchanged.

AFKC Support Group Attendance Report Form

Support Group Attendance Report

Please Note

Our Mission

About NACAC

Contact

Staff Contact Info

Feedback

Quick Links

Donate

Join NACAC

The North American Council on Adoptable Children