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Group Visitation Form
This form is designed to help COASCNA's Outreach Subcommittee better assist the group's in our area. Please take the time to fill this out in your group conscience.
**MUST BE COMPLETED BY A TRUSTED SERVANT**
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* Indicates required question
Name Of Group:
*
Your answer
Day(s) & Time of Meeting
*
Your answer
Address:
Your answer
Does This Group Request Outreach's Support?
*
Yes
No
In what area(s) does the group need help?
*
Meeting Attendance
Home Group Members
Trusted Servants
NONE
Required
In what area(s) does the group need help?
*Use this box to describe/explain what this group needs help with. (Does the group need a new GSR/Secretary/Treasurer? Does the group need any service help/guidance? etc.)
Your answer
What service positions are currently filled?
*
GSR
Secretary
Treasurer
Required
What Workshops or Learning Days would this group like to see Outreach facilitate?
Your answer
Group Contact & Phone Number:
Your answer
Who is filling this out & what is your service position for this group?
*
Your answer
Additional Comments:
Your answer
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