The FRIENDS Program Monthly Report Please submit by the 10th of each month Report for Month of(Required)Select MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberChild Friend's Name(Required) First Last Child Friend's School(Required)Please Choose OneBuffalo HillsBryantCentralEmersonGlenwoodKenwoodMeadowlarkNortheastParkWindy HillsElm CreekPleasantonRavennaSEMN/AChild Friend's Counselor #1Please Choose OneTeresa CordesMary FruhlingGinny KlingelhoeferLori McArthurDebbie MerzJennifer RiedelJessica GraszAngie DrahotaValerie NigroKarmen Scharf-SearsMorgan BirdLori McColloughJulia BottBeth WilkeOlivia ObergLogann HarrisChild Friend's Counselor #2Please Choose OneTeresa CordesMary FruhlingGinny KlingelhoeferLori McArthurDebbie MerzJennifer RiedelJessica GraszAngie DrahotaValerie NigroKarmen Scharf-SearsMorgan BirdLori McColloughJulia BottBeth WilkeOlivia ObergLogann HarrisBig Friend Volunteer's Name(Required) First Last Big Friend Volunteer's Email(Required) Activity ReportHow many activities did you participate in this month?(Required)Select Number1 Activity2 Activities3 Activities4 Activities5 Activities6 ActivitiesDate (Activity 1) Month Day Year Name of Activity (Activity 1) Number of Hours (Activity 1) Date (Activity 2) Month Day Year Name of Activity (Activity 2) Number of Hours (Activity 2) Date (Activity 3) Month Day Year Name of Activity (Activity 3) Number of Hours (Activity 3) Date (Activity 4) Month Day Year Name of Activity (Activity 4) Number of Hours (Activity 4) Date (Activity 5) Month Day Year Name of Activity (Activity 5) Number of Hours (Activity 5) Date (Activity 6) Month Day Year Name of Activity (Activity 6) Number of Hours (Activity 6) Comments about the relationship, your expectations, problems, successes, etc…Information from child’s school or family that FRIENDS should know about… (change of address, phone number, etc.)Activity suggestions you would like to share with other BIG FRIEND volunteers…Name, phone number and email address of other potential FRIENDS’ volunteers…Please report any changes in the following items:Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone NumberEmail Address Δ