Adult Literature Report
ADULT LITERATURE REPORT IOWA USFW
Name of Society___________________________________
Number of Women and Men participating in Course_____
Number of Women completing the Reading Course_____
Names of those completing the Reading Course
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Number of Advocates_____________
Number of Blueprints_____________
Number of Programs_____________
Report is due June 20, 2012
Mail to: Cathie Zeliadt
4103 SW 5th St.
Des Moines, IA 50315
Name, Address, and Phone number of person making this report:
____________________________________________________
____________________________________________________
____________________________________________________