CONSULTING ROSARIAN - ANNUAL REPORT FORM

Note: All CRs are required to fill out and submit this form to remain on the active list.

* Required fields

Name *

E-mail Address *

Address: *

City: *

State: *

Zip: *

Phone: *

Report Date: *

Local Society: *

Completed Roses in Review Form? * Yes No

If 'No' please explain (Now required of all CRs):

Number of ARS Members recruited: *

Programs Presented: *

Number of Articles Written & Date Published: *

Number of Rose Consultations: *

Number of Cyber Rose Contacts: *

Describe your most challenging rose question/consultation: *

Number of Meetings Attended – Local: *

Number of Meetings Attended – District: *

Number of Meetings Attended – National: *

Last CR School or Seminar Attended: *

Titles of Offices Held: *

Helped with community gardens: *

List an attainable goal for you to accomplish this year. (Such as putting on rose related programs): *

Suggestions on how a Consulting Rosarian can be more effective: *

Suggestions on how to improve the CR Program: *

I have read and agree to the Privacy Policy *

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Suggestion! Keep an on-going calendar of your CR activities through the year to insure completeness
and accuracy on the report form.

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