MONTHLY REPORT    Month Reporting

Name   Agency #  

County   E-Mail 

    GENDER   AGE BREAKDOWN   ETHNIC BREAKDOWN
  TOTAL# NEW People Served   # of NEW Males # of NEW Females    0-5 6-19 20-59 60+   White African American Hispanic Native American Asian
Primary Program      
Kids Cafe      
Mass Feeding      

Total Number of Clients (New & Existing) Served this Month

Total Number of Clients (New & Existing) this Month Who Were Homeless

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