GPRNA RSC Reports – Greater Philadelphia Region of Narcotics Anonymous

Are you an RCM, RSC Administrative Board Member, Subcommittee Chair, Special Worker, or other individual who has been authorized to submit on their behalf? *YesNo

This form is only for trusted servants who have been authorized to submit reports. Would you like someone from the IT Subcommittee to contact you?

Email Address

Phone

First Name *

Last Initial *

Phone *

Email Address *

Which report are you submitting? *

Identify your role. *RCM or RCM AlternateOfficer, Sub-Committee Chairperson/Vice-Chairperson, or AlternateAddict serving as a substitute or surrogateOther addict

Which Area are you representing? *

Date of RSC Meeting *

You are indicating the date of the RSC Meeting when this report will be/was read.

Are you requesting funds? *YesNo

Funds Requested (in Dollars) *

Justify your funds request. *

Would you like to submit one or more flier(s)? *YesNoThis field is for fliers only, not your report.

Upload Flier(s) *

PDF is preferred. If you have more than six (6) fliers to submit, you will need to submit them via the GPRNAreports email group.

Would you like us to post your flier(s) to the GPRNA Events Calendar?YesNoSelecting “Yes” will automatically forward ALL fliers you provide for inclusion on the calendar at naworks.org/events. Select “No” if you have questions or if you would like one or more of your fliers to NOT be posted. In that case, you can email fliers individually to events@naworks.org.

Which option(s) would you like to use to submit your report? *Type text into a field.Upload one or more documents.Select one or both.

Type your report here: *

Upload report here: *

You are limited to three (3) uploads. If more uploads are needed, please email the GPRNAreports group.