Member Organization Outreach Log

Move United Rep Name*

Email*

Member Organization Rep Name*

Member Organization Name*

State*

Date of Communication*

Type of Meeting*

Reason for Meeting

(i.e. general check-in, requested by chapter, new chapter, etc.)

What overall challenges does the member face?

What Move United specific challenges does the member face?

Are there any additional Secondary Contacts the Memberwould like to add to mailing list?

Please provide name, title, and email address for each.

What benefits are most accessed by this Member?

Meeting Summary

What were the general topics/outcomes of your session?

Action Item 1