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Committee Quarterly Report

Please complete the required information as directed below. When finished, please click the SUBMIT button at the end of the form to send your report to ANAC's National Office.

Committee Name: *

Report Date: *

Board Liaison (Please select one from the drop down list): *

Chairperson: *

Committee Members: *

Please complete the required information as directed below. Please note that you are limited to 2,000 characters per answer. If you have additional supporting documentation, please upload the document at the end of this form where indicated. When finished, please click the SUBMIT button at the end of the form to send your report to ANAC's National Office.

Planned Activities for the next Quarter or Beyond (Please roughly estimate the # of hours members spend on Committee activities per quarter): *

Completed Activities or Accomplishments for the Year *

Items to be presented to the Board (i.e. budget changes, other resources needed, policy concerns, etc.): *

Supporting Documentation: Please upload additional supporting documentation for your report as a Word document.

Supporting Documentation (2): Please upload additional supporting documentation for your report as a Word document.

Fields marked with * are required.

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