Field Executive Visit Report

Field Executive Visit Report

Please use this form to update the IHQ staff each time a Field Executive visits. The Field Executive should walk you through this form in his meeting with the VPHS. This will allow the Director of Education to keep track of your progress.
  • Last name, First name
  • Please provide your cell phone number, in case the Director of Education needs to contact you for additional follow up.
  • Please provide an e-mail address you check regularly.
  • Please provide the name and contact information for your Health and Safety Adviser. Contact information should include e-mail and telephone number
  • Please provide the contact information of your campus' Health Center Director so that we may contact them or provide them with Sacred Purpose Movement Updates (e-mail or physical mailing address is preferred.)
  • Please use this space to describe your event and how it fits into our Sacred Purpose. Include, dates, times, organizations involved, speaker and speaker information, etc.
  • Drop files here or
    If you have documentation (reports, flyers, letters from participants) please upload them here.

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