2018 ACS QUARTERLY REPORT FORM


Address *
Address
Name of ACS Leader/Director *
Name of ACS Leader/Director
Phone Number of ACS Leader/Director *
Phone Number of ACS Leader/Director
Fax Number of ACS Leader/Director
Fax Number of ACS Leader/Director
This Report is submitted for the following activity/activities (Please check all applicable boxes) *
A copy of completed Report should be sent to your Pastor(s), Personal Ministries Leader, ACS Federation President and ACS Federation Coordinator. Please also keep a copy for your files.
OPERATIONS
PROGRAM STATISTICS
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CLIENT DEMOGRAPHICS (numerical values only)
ANY OTHER COMMENTS