This form must be fully completed by the last Friday in October. This form will be sent to your State/Regional Office and a copy will be sent to your email.
Describe your relationship with the following people during the month:
Identify the topics and assignments you completed this month.
Examples of Coordinating Assignments
You have selected a state/region that does not have a MIP class this year. Please review the Name of State/Region Office field again. If you are receiving this message as an error, please email firstname.lastname@example.org so we can look at this issue.