You have been identified as the Primary Referral Outreach contact person by the Region 10 IEIC Committee.
If this is incorrect, Please let me know and we will identify the appropriate person in your area.
You will receive to reminders each month, once 25 days before you are to enter the data and again 3 days prior to entering the data.
You are being asked to collect the following data for the reporting:
- Your name
- Date you provided outreach
- Referral source to which you provided outreach
- Any comments you want to share
To submit this information Please click on the following link.
If you should have any problems or questions concerning this form, please do not hesitate to contact Christian Wernau (email@example.com) or Becky Tennis Hanson (firstname.lastname@example.org).
Warning: Cannot modify header information - headers already sent by (output started at /home1/reg10/public_html/wp-content/themes/responsive/header.php:22) in /home1/reg10/public_html/wp-content/themes/responsive/set.php on line 1