(1) Section: (2) Month: (3) Year:
(4) Total Number of ARES Members: (5) Change Since Last Month:
(6) Number of Active Nets: (7) Total Sessions:
(8) Number of EC's/DEC's Reporting This Month:
(9) Number of Nets, Drills, Tests and Training Sessions This Month:Man Hours:
(10) Number of Public Service Events This Month: Man Hours:
(11) Number of Emergency Operations This Month: Man Hours:

Please Note: Item 12 below, is totals of the three items above.
(12) Total Number of ARES/RACES Events This Month: Total Man Hours:

(13) Enter Stations Reporting And Any Final Comments Below:
(Please hit your enter key at end of each line)

(14) Signed By: Call Sign:
(15) Your E-Mail Address:

To Send A Copy Of Your Report To Your SM, Fill In The SM's Email Address Below
(16) Your SM's Email Address:

Your Information Will Be Automatically Sent To Steve Ewald - WV1X
At ARRL Headquarters In Newington CT

When finished filling out the form, please click on the SUBMIT button below.

CGI Form Design by Race Consulting (c) 2001 - George Race, WB8BGY