MSMI Liaison Monthly Report Form

This is the Liaison Monthly Report Form for the MSMI (Middle School Mathematics Initiative Project).

Please note that the fields marked with a red asterisk* are mandatory. The field names are purposely short, but if their brevity leads to confusion you can read the description below the box.

If the size of the print is too small hold down your control key and hit the + key. Control and - will make them smaller again.

Thanks for coming on board.

Liaison - Choose your name from the list.
Type in your email address if you would like to receive an emailed copy of the information you are submitting. This is optional.
Choose the district for the interactions that you will list on this report.
Select the month that this report covers
The number of meetings/visits with this district this month.
Number of emails this month. (Do we count both to and from - or just sent?)
Number of phone calls this month.
Other contacts, such as faxes, conference calls, letters, etc
Please list the types of other contacts made. If space is short here add details to summary.
Contact Time in Hours
Travel Time in Hours.
Total Hours Spent During Month
Please provide a SUMMARY of the work accomplished with this district this month. You may wish to include insights, front burner issues, successes and/or challenges: