NARSOL Region One
Advocate / Contact Monthly Report
This monthly feedback report is designed to make communicating with your regional coordinator more convenient by automating the feedback. Once submitted, your input will be auto-route to your NARSOL Regional Coordinator. Please forward any comments for improvement, changes, suggestions, etc. to your regional coordinator for review.
Your name*
First Name Last Name
Today’s date*
Month Day Year
Date
Your reporting state*
State organization you are associated with/reporting for (if any).
e.g. West Virginians for Rational Sexual Offense Laws (WVRSOL)
Reporting activity for the Month/Year of.*
Is your NARSOL membership current?*
Yes No Other
Report Summary - please summarize any local tasks and projects you have been working on during the reporting period.*
Lastly, given all of the above reported activities and other not reported but related activities on average, how many hours per week did you spend on your duties as a NARSOL Advocate or Contact?*
Should be Empty:

NARSOL Region One