Narconon Arrowhead Field Representative
Involved in my community because I care about our future.
  Field Activity Report Form

Graduate/ Field Representative Information

FR Name: FR Phone:
FR E-mail:
When did you graduate ?:
Did you hand out literature?:
How much?:
How many attended?:
Any people we should contact ?:
List their names:
List phone #'s and/or e-mail:

Is this a weekly activity?  yes    no


     Briefly describe the activity and any other information we should know and whether or not you would like assistance in this activity:

     

     

    




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