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Regional Science Liaison Monthly Report
Reporting for the Month:
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January
Februray
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April
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September
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Name
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Name
Email
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Region
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Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Region 8
Region 9
Region 10
Region 11
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Region 15
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Region 20
Date
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MM slash DD slash YYYY
Science Activities in Your Region (highlight any Chapter/Regional Science Activities of note)
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Chapter/Individual Recognition (Call out any exceptional Chapter or Individual contributions for the month) - if none, please type "none"
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Any needs from our staff? - if none, please type "none"
(Required)
