Local Planning Council Forms

Summary of Activities Report

1. Agency Name
2. Agency Address
3. Agency County
4. Contract Number
5. Contract Amount
6. Vendor Number
7. Agency Representative Name
8. Agency Representative Title
9. Agency Representative Phone Number
10. Review Date Start
11. Review Date End
12. Upload your copies of any publications that have been printed during the year using contract funds. Do not attach copies of meeting minutes or agendas. When it has been uploaded successfully, a unique ID will appear in the box. (Optional)
13. Local Planning Council (LPC) Coordinator Name
14. Program Year
15. List three major activities and accomplishments during the contract reporting period.
16. Identify problems and proposed resolutions to local planning issues and activities.
17. Coordination/Collaboration Efforts (California First 5, CalSAFE, Native American Indian Tribes, etc.)
18. Resource and Referral (R&R) Efforts