SAMPLE Area Group Report – Greater Philadelphia Region of Narcotics Anonymous

Have you been authorized by a group within the Pure & Simple Area to submit a report on their behalf? *YesNo

This form is only for individuals who have been authorized to submit on behalf of groups in the Pure & Simple Area. Would you like someone from the IT Subcommittee to contact you?

Email Address

Phone

First Name *

Last Initial *

Phone *

Email Address *

Which group report are you submitting? *Pure & Simple Area groups are shown as examples.

Group Name *This field is only for groups that do not appear in the previous question.

Have your meeting details (i.e. day, time, format, etc.) changed since the last ASC meeting? *YesNoMaybe

Has your group processed a meeting update form on the GPRNA website? *YesNoI am not sure.Here is the link: https://naworks.org/meeting-update-form/

Describe the changes to your meeting. *

Identify your role. *GSRAlt GSRGroup memberAddict assisting this group.

Date of ASC Meeting *

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

Did your group / will your group make a contribution? *YesNo

Contribution Amount (in Dollars) *

Will your group / did your group purchase literature? *YesNo

Literature Amount (in Dollars) *

Group Report *All is well.We would like to have our group report included in the minutes.“All is well” will not be included in the minutes.

Enter the group report here. *This information will appear in the minutes.

Would you like to submit a flier for an upcoming group event? *YesNo

Upload here *

PDF is preferred. If you have more than two (2) fliers to submit, you will need to send them to the ASC Secretary via email.

Would you like us to post your event 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 events@naworks.org.

Do you have any upcoming NA anniversary celebrations to communicate? *YesNo

Addict #1- First Name and Last Initial *If submitting a group anniversary, type the full name of the group.

Years *

Date of Celebration *

Addict #2- First Name and Last Initial

Years

Date of Celebration

Addict #3- First Name and Last Initial

Years

Date of Celebration

Do you have more anniversary celebrations to communicate? *YesNo

Addict #4- First Name and Last Initial *

Years *

Date of Celebration *

Addict #5- First Name and Last Initial

Years

Date of Celebration

Addict #6- First Name and Last Initial

Years

Date of Celebration

Do you have additional anniversary celebrations to communicate? *YesNo

Addict #7- First Name and Last Initial *

Years *

Date of Celebration *

Addict #8- First Name and Last Initial

Years

Date of Celebration

Addict #9- First Name and Last Initial

Years

Date of Celebration

If you have more than nine (9) anniversary celebrations to communicate, you will need to contact the ASC Secretary via email.I understand.Email all names, years, and celebration dates to pnsareasecretary@gmail.com