Uploaded by thomas.hebert

4-Block Report Template

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XXXX Council/Committee Monthly Report
Accomplishments since last report:
Committee Description:
The role of the XXX Council/Committee/Workgroup is …… [this
should be in your charter]

Insert accomplishments
Membership/Staffing:
• Insert Committee Membership Titles– Like “COS” NOT
people’s names—like “Dr. Zimmerman”
Date Charter reviewed:
Date Membership reviewed:
Metrics, Data, Notes, and Important Information:
• Attendance Percentage: [Average attendance since last
report]
•
Action Items:

Insert Action Items (To be placed on action tracker)
Put applicable data in here. If you want to provide more info, add links or
imbed documents.
Decisions needed from [XX Council/Committee]:
Insert Date
Insert Name of Committee/Service/Program
Manchester VAMC
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