Home And Community Based Care - Adrd Education And Support - Alaska Commission On Aging - Quarterly Program Report - Sfy 2001 Page 2
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4Revised 8/22/00
Quarter Ending:
____ Sept. 30, 2000
Grantee: Alzheimer's Association, Alaska Chapter
____ Dec. 31, 2000
____ March 31, 2001
____ June 30, 2001
1st quarter
2nd quarter
3rd quarter
4th quarter
July-Sept.
Oct - Dec
Jan - March
April - June
Totals
Number of I & R Contacts
Individual / Family Consultations
Number of NEW people served this quarter
Total number of NEW people served this
quarter, by Racial/Ethnic identity :
A. American Indian/Alaska Native
B. Asian/Pacific Islander
C. Black
D. Hispanic
E. White
Number of Total people served
Support Groups
Number of people participating
Number of support groups
Does this report revise information submitted on earlier reports? ___________
Please highlight the revisions .
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G:\ACoA\SFY01 NEW FORMS\ FY01 HCB forms instructions
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