Other Reports (Not RCM) – GPRNA Reports

Are you an Officer, Administrative Board Member, Subcommittee Chair/Vice-Chair, or another individual authorized to submit a report at the RSC Meeting? *YesNoThis form is not for RCM reports. Another form exists for that purpose.

If you are not authorized to submit a report, would you like to be contacted?

Email Address *

Phone

First Name *

Last Initial *0 / 3

Email Address *

Phone *

Your role

Please identify your role.For instance, you might indicate that you are a “subcommittee member.” If may leave this field blank if desired.

RSC Meeting Date: *FebruaryAprilJuneAugustOctoberDecemberMake sure you choose the month of the RSC meeting, NOT the current month. This will assign your report to the correct report grouping.

Which report are you submitting? *You are submitting the _______________ report.

Identify the report that is missing from the previous list. *I am submitting a report regarding ____________________.

Will you be requesting funds? *NoYes

Total Funds Requested *This is the sum total of all funds you will requesting. All funds requests should be documented with an appropriate proposal form linked below.

Will you be submitting a proposal to be voted on at the RSC Meeting? *NoYesReminder- Funds requests require a proposal.

Proposal Form:

You need to complete and submit a proposal form:
GPRNA PROPOSAL FORMS

Proposal Upload *

This is for proposal forms only, not your report. Complete one or more of the forms linked above. You can upload an electronic copy or a photo. You are limited to three submission here. If you need to submit more, email them to reports@naworks.org

Do you have any fliers for upcoming events? *NoYes

Upload Fliers *

This is for fliers only, not your report. The limit is six. If you need to submit more, email reports@naworks.org

Your event WILL NOT be posted to the GPRNA Events Calendar automatically. We recommend completing the online form at the address found below so that addicts are aware of your event. We will email you a link to the online form. *Acknowledged.https://naworks.org/gprna-events/

What would you like to report? *“All is well.”I would like to report additional information.Be sure to report any funds requested and the justification for those requests.

How would you like to submit your report? *Type into a fieldUpload a reportBe mindful that any information included in your report will immediately become public. We recommend leaving personal emails and phone numbers out of your report.

Enter your report.

Upload your report.

You are limited to three files. If you need to upload more, submit them to reports@naworks.org

Would you like physical copies of this report to be printed for distribution at the RSC Meeting? *NoYesIf you select “Yes,” our Special Work- Admin will receive an automated email asking that the report be printed.

Optional Private Notes to the SecretaryThe secretary will see this information but it will not be displayed in the report preview or in the minutes.